CA Wall License 200 Information
Name | Smriti Shamapant |
License Number | 200 |
Individual or Organization | O |
Address | 24541 Pacific Park Dr Suite #205 Aliso Viejo, CA 92656 |
County | Orange |
License Status | Active |
License Original Issue Date | 3/9/2021 |
License Expiration Date | 6/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |