CA Wall License 2616 Information
Name | Damir Malikov |
License Number | 2616 |
Individual or Organization | O |
Address | 17738 Devonshire Street Unit 3 Northridge, CA 91325 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 9/25/2012 |
License Expiration Date | 4/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |