CA Wall License 911

CA Wall License 911 Information

Name Mary Manning
License Number911
Individual or OrganizationO
Address20 S. Santa Cruz Ave Suite 312
Los Gatos, CA 95030
CountySanta Clara
License StatusDelinquent
License Original Issue Date7/22/2021
License Expiration Date4/30/2022
License TypeWall License
AgencyAcupuncture Board