CA Wall License 1932 Information
Name | Myra Kelly |
License Number | 1932 |
Individual or Organization | O |
Address | 412 S. Pacific Coast Highway, Suite 102
Redondo Beach, CA 90277 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 12/6/2021 |
License Expiration Date | 12/31/2022 |
License Type | Wall License |
Agency | Acupuncture Board |