CA Wall License 1569 Information
Name | Asha Randall |
License Number | 1569 |
Individual or Organization | O |
Address | 21355 Pacific Coast Hwy
Malibu, CA 90265 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 4/19/2006 |
License Expiration Date | 8/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |