CA Licensed Acupuncturist 17658

CA Licensed Acupuncturist 17658 Information

NameNicole Kaitlyn Glathe
License Number17658
Individual or OrganizationI
Address1906 N Beverly Glen Blvd
Los Angeles, CA 90077
CountyLos Angeles
License StatusActive
License Original Issue Date5/8/2017
License Expiration Date9/30/2024
License TypeLicensed Acupuncturist
AgencyAcupuncture Board
SchoolEmperor's College Of Traditional Oriental Medicine