CA Wall License 1034 Information
Name | Lara Koljonen |
License Number | 1034 |
Individual or Organization | O |
Address | 301 Spruce Street
San Diego, CA 92103 |
County | San Diego |
License Status | Active |
License Original Issue Date | 3/17/2008 |
License Expiration Date | 3/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |