CA Wall License 1225 Information
| Name | Lisa Swanson |
| License Number | 1225 |
| Individual or Organization | O |
| Address | 152 Mill Street #d
Grass Valley, CA 95945 |
| County | Nevada |
| License Status | Active |
| License Original Issue Date | 5/5/2008 |
| License Expiration Date | 7/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |