CA Wall License 2753 Information
Name | Shakeh Avanessian |
License Number | 2753 |
Individual or Organization | O |
Address | 4405 W Riverside Drive #208
Burbank, CA 93222 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 4/19/2006 |
License Expiration Date | 9/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |