CA Wall License 1034

CA Wall License 1034 Information

Name Lara Koljonen
License Number1034
Individual or OrganizationO
Address301 Spruce Street
San Diego, CA 92103
CountySan Diego
License StatusActive
License Original Issue Date3/17/2008
License Expiration Date3/31/2023
License TypeWall License
AgencyAcupuncture Board