CA Licensed Acupuncturist 17873

CA Licensed Acupuncturist 17873 Information

NameAdriana Nicole Triana Lee
License Number17873
Individual or OrganizationI
Address3316 Alabama Circle
Costa Mesa, CA 92626
CountyOrange
License StatusInactive
License Original Issue Date10/9/2017
License Expiration Date12/31/2022
License TypeLicensed Acupuncturist
AgencyAcupuncture Board
SchoolSouth Baylo University