CA Wall License 2253 Information
Name | Nila Jalali |
License Number | 2253 |
Individual or Organization | O |
Address | 17203 Ventura Blvd, Ste 2
Encino, CA 91316 |
County | Los Angeles |
License Status | Delinquent |
License Original Issue Date | 12/20/2018 |
License Expiration Date | 9/30/2022 |
License Type | Wall License |
Agency | Acupuncture Board |