CA Wall License 1574

CA Wall License 1574 Information

Name Theodore Lizee
License Number1574
Individual or OrganizationO
Address325 E Hillcrest Drive, Suite 135
Thousand Oaks, CA 91360
CountyVentura
License StatusActive
License Original Issue Date11/20/2019
License Expiration Date8/31/2023
License TypeWall License
AgencyAcupuncture Board