CA Wall License 1543

CA Wall License 1543 Information

Name Heidi Ann Lee
License Number1543
Individual or OrganizationO
Address405 E Branch Street, Suite 100
Arroyo Grande, CA 93420
CountySan Luis Obispo
License StatusActive
License Original Issue Date12/28/1999
License Expiration Date8/31/2023
License TypeWall License
AgencyAcupuncture Board