CA Wall License 1583 Information
Name | Armida Coughlin |
License Number | 1583 |
Individual or Organization | O |
Address | 4715 30th Street
San Diego, CA 92105 |
County | San Diego |
License Status | Active |
License Original Issue Date | 8/3/2020 |
License Expiration Date | 9/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |