CA Wall License 1594

CA Wall License 1594 Information

Name Timothy Lee
License Number1594
Individual or OrganizationO
Address5553 W Pico Blvd
Los Angeles, CA 90019
CountyLos Angeles
License StatusActive
License Original Issue Date4/11/2012
License Expiration Date9/30/2023
License TypeWall License
AgencyAcupuncture Board