CA Wall License 1269 Information
Name | Larry Lopez |
License Number | 1269 |
Individual or Organization | O |
Address | 232 Chestnut Street
Brentwood, CA 94513 |
County | Contra Costa |
License Status | Active |
License Original Issue Date | 9/3/2009 |
License Expiration Date | 7/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |