CA Wall License 274 Information
Name | Jessica Cerasoli |
License Number | 274 |
Individual or Organization | O |
Address | 2311 Lake Tahoe Blvd Ste 4 South Lake Tahoe, CA 96150 |
County | El Dorado |
License Status | Active |
License Original Issue Date | 3/25/2021 |
License Expiration Date | 4/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |