CA Licensed Acupuncturist 17646

CA Licensed Acupuncturist 17646 Information

NameLeda Marie Derose
License Number17646
Individual or OrganizationI
Address1850 Park Blvd # 514
San Diego
San Diego, CA 92101
CountySan Diego
License StatusActive
License Original Issue Date5/5/2017
License Expiration Date5/31/2024
License TypeLicensed Acupuncturist
AgencyAcupuncture Board
SchoolPacific College Of Oriental Medicine