CA Wall License 1642

CA Wall License 1642 Information

Name Maruyama-Ali Chizuru
License Number1642
Individual or OrganizationO
Address17502 Irvine Blvd. Ste. A
Tustin, CA 92780
CountyOrange
License StatusActive
License Original Issue Date5/6/2016
License Expiration Date10/31/2023
License TypeWall License
AgencyAcupuncture Board