CA Licensed Acupuncturist 17795 Information
| Name | Jose Alfonso Del Real Izaguirre |
| License Number | 17795 |
| Individual or Organization | I |
| Address | 641 E San Ysidro Blvd B3-525
San Ysidro, CA 92173 |
| County | San Diego |
| License Status | Delinquent |
| License Original Issue Date | 10/2/2017 |
| License Expiration Date | 6/30/2021 |
| License Type | Licensed Acupuncturist |
| Agency | Acupuncture Board |
| School | Pacific College Of Oriental Medicine |