CA Wall License 1775 Information
Name | Lesley Custodio |
License Number | 1775 |
Individual or Organization | O |
Address | 314 S Magnolia Ave
El Cajon, CA 92020 |
County | San Diego |
License Status | Active |
License Original Issue Date | 11/11/2021 |
License Expiration Date | 10/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |