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 |