CA Wall License 1608 Information
Name | Michael Fox |
License Number | 1608 |
Individual or Organization | O |
Address | 3818 Tracy St
Los Angeles, CA 90027 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 9/20/2021 |
License Expiration Date | 11/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |