CA Wall License 1391 Information
Name | Mariko Horie |
License Number | 1391 |
Individual or Organization | O |
Address | 504 N State College Blvd
Anaheim, CA 92806 |
County | Orange |
License Status | Active |
License Original Issue Date | 5/9/2017 |
License Expiration Date | 3/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |