CA Wall License 1543 Information
| Name | Heidi Ann Lee |
| License Number | 1543 |
| Individual or Organization | O |
| Address | 405 E Branch Street, Suite 100
Arroyo Grande, CA 93420 |
| County | San Luis Obispo |
| License Status | Active |
| License Original Issue Date | 12/28/1999 |
| License Expiration Date | 8/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |