CA Wall License 1110 Information
Name | Sara Pettitt |
License Number | 1110 |
Individual or Organization | O |
Address | 1800 N Sepulveda Blvd
Manhattan Beach, CA 90266 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 3/10/2004 |
License Expiration Date | 6/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |