CA Wall License 2612 Information
Name | Judith Avery |
License Number | 2612 |
Individual or Organization | O |
Address | 1434 6th Street, Ste 7
Santa Monica, CA 90401 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 9/6/1988 |
License Expiration Date | 4/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |