CA Wall License 1221 Information
Name | Xiu Xia Li |
License Number | 1221 |
Individual or Organization | O |
Address | 12340 Santa Monica Blvd #251
Los Angeles, CA 90025 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 6/8/2005 |
License Expiration Date | 5/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |