CA Wall License 1318 Information
Name | Amy Lesage |
License Number | 1318 |
Individual or Organization | O |
Address | 18821 Delaware St., Ste. 106
Huntington Beach, CA 92648 |
County | Orange |
License Status | Active |
License Original Issue Date | 9/14/2021 |
License Expiration Date | 10/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |