CA Wall License 1805

CA Wall License 1805 Information

Name Shizue Ito
License Number1805
Individual or OrganizationO
Address2960 Harbor Blvd. Suite A & B
Costa Mesa, CA 92626
CountyOrange
License StatusActive
License Original Issue Date11/16/2021
License Expiration Date11/30/2023
License TypeWall License
AgencyAcupuncture Board