CA Wall License 1574 Information
| Name | Theodore Lizee |
| License Number | 1574 |
| Individual or Organization | O |
| Address | 325 E Hillcrest Drive, Suite 135
Thousand Oaks, CA 91360 |
| County | Ventura |
| License Status | Active |
| License Original Issue Date | 11/20/2019 |
| License Expiration Date | 8/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |