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 |