CA Licensed Acupuncturist 18515

CA Licensed Acupuncturist 18515 Information

NameLeesa Gallentine
License Number18515
Individual or OrganizationI
Address2219 West Olive Avenue #116
Burbank, CA 91506
CountyLos Angeles
License StatusDelinquent
License Original Issue Date4/10/2019
License Expiration Date6/30/2022
License TypeLicensed Acupuncturist
AgencyAcupuncture Board
SchoolDong-Guk Royal University Of America