CA Wall License 2598 Information
Name | Shohreh Omidi |
License Number | 2598 |
Individual or Organization | O |
Address | 24422 Avenida De La Carlota, Suite 105
Laguna Hills, CA 92653 |
County | Orange |
License Status | Active |
License Original Issue Date | 2/4/2021 |
License Expiration Date | 3/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |