CA Wall License 1285 Information
Name | Suvini Jayasekera |
License Number | 1285 |
Individual or Organization | O |
Address | 22027 Baltar St
Canoga Park, CA 91304 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 7/22/2021 |
License Expiration Date | 6/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |