CA Wall License 1307 Information
Name | Gary Kaisaki |
License Number | 1307 |
Individual or Organization | O |
Address | 1949 Euclid St
Santa Monica, CA 90404 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 9/9/2021 |
License Expiration Date | 9/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |