CA Wall License 1805 Information
Name | Shizue Ito |
License Number | 1805 |
Individual or Organization | O |
Address | 2960 Harbor Blvd. Suite A & B
Costa Mesa, CA 92626 |
County | Orange |
License Status | Active |
License Original Issue Date | 11/16/2021 |
License Expiration Date | 11/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |