CA Wall License 1611 Information
Name | Ashley Smith |
License Number | 1611 |
Individual or Organization | O |
Address | 13323 W Washington Blvd
Los Angeles, CA 90066 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 10/16/2021 |
License Expiration Date | 3/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |