CA Wall License 2253

CA Wall License 2253 Information

Name Nila Jalali
License Number2253
Individual or OrganizationO
Address17203 Ventura Blvd, Ste 2
Encino, CA 91316
CountyLos Angeles
License StatusDelinquent
License Original Issue Date12/20/2018
License Expiration Date9/30/2022
License TypeWall License
AgencyAcupuncture Board