CA Wall License 1160 Information
| Name | Simon Nelson |
| License Number | 1160 |
| Individual or Organization | O |
| Address | 4208 Lankershim Blvd
North Hollywood, CA 91602 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 11/19/1997 |
| License Expiration Date | 7/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |