CA Wall License 1925 Information
Name | Ross Lopez |
License Number | 1925 |
Individual or Organization | O |
Address | 12856 Greene Avenue
Los Angeles, CA 90066 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 11/4/2021 |
License Expiration Date | 1/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |