CA Wall License 2260 Information
| Name | Lisa Wagenseil |
| License Number | 2260 |
| Individual or Organization | O |
| Address | 1065 West Grand Ave. Suit B
Grover Beach, CA 93433 |
| County | San Luis Obispo |
| License Status | Active |
| License Original Issue Date | 1/26/2022 |
| License Expiration Date | 2/29/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |