TX Licensed Acupuncturist 17695

TX Licensed Acupuncturist 17695 Information

NameLacey Theresa Dupre
License Number17695
Individual or OrganizationI
Address510 Franklin Dr
Texas
San Marcos, TX 78666
License StatusInactive
License Original Issue Date5/16/2017
License Expiration Date1/31/2023
License TypeLicensed Acupuncturist
AgencyAcupuncture Board
SchoolPacific College Of Oriental Medicine