CA Wall License 1493 Information
Name | Steven Goodman |
License Number | 1493 |
Individual or Organization | O |
Address | 1833 S Coast Hwy Unit 130 Laguna Bch, CA 92651 |
County | Orange |
License Status | Active |
License Original Issue Date | 10/5/2021 |
License Expiration Date | 8/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |