CA Wall License 2076 Information
| Name | Mary Carson |
| License Number | 2076 |
| Individual or Organization | O |
| Address | 3921 Sunset Blvd (2nd Floor)
Los Angeles, CA 90029 |
| County | Los Angeles |
| License Status | Delinquent |
| License Original Issue Date | 12/31/2021 |
| License Expiration Date | 12/31/2021 |
| License Type | Wall License |
| Agency | Acupuncture Board |