CA Wall License 1634 Information
Name | Holly Anderson |
License Number | 1634 |
Individual or Organization | O |
Address | 4209 Santa Monica Blvd #100
Los Angeles, CA 90029 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 4/4/2008 |
License Expiration Date | 9/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |