CA Wall License 1801 Information
Name | Samara White |
License Number | 1801 |
Individual or Organization | O |
Address | 25431 Cabot Road, Suite 207
Laguna Hills, CA 92653 |
County | Orange |
License Status | Active |
License Original Issue Date | 11/14/2021 |
License Expiration Date | 3/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |