CA Wall License 1642 Information
Name | Maruyama-Ali Chizuru |
License Number | 1642 |
Individual or Organization | O |
Address | 17502 Irvine Blvd. Ste. A
Tustin, CA 92780 |
County | Orange |
License Status | Active |
License Original Issue Date | 5/6/2016 |
License Expiration Date | 10/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |