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 |