NY Licensed Acupuncturist 17712

NY Licensed Acupuncturist 17712 Information

NameKaitlyn Barbara Mitchell
License Number17712
Individual or OrganizationI
Address27 Bellview Avenue
Brookhaven, NY 11719
License StatusInactive
License Original Issue Date5/23/2017
License Expiration Date9/30/2024
License TypeLicensed Acupuncturist
AgencyAcupuncture Board
SchoolFive Branches Institute