CA Wall License 1269

CA Wall License 1269 Information

Name Larry Lopez
License Number1269
Individual or OrganizationO
Address232 Chestnut Street
Brentwood, CA 94513
CountyContra Costa
License StatusActive
License Original Issue Date9/3/2009
License Expiration Date7/31/2023
License TypeWall License
AgencyAcupuncture Board