CA Wall License 2219 Information
Name | Jeramy Shirley |
License Number | 2219 |
Individual or Organization | O |
Address | 13315 West Washington Blvd
W Los Angeles, CA 90066 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 1/23/2022 |
License Expiration Date | 4/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |