CA Wall License 2076

CA Wall License 2076 Information

Name Mary Carson
License Number2076
Individual or OrganizationO
Address3921 Sunset Blvd (2nd Floor)
Los Angeles, CA 90029
CountyLos Angeles
License StatusDelinquent
License Original Issue Date12/31/2021
License Expiration Date12/31/2021
License TypeWall License
AgencyAcupuncture Board