CA Wall License 2754 Information
Name | Shakeh Avanessian |
License Number | 2754 |
Individual or Organization | O |
Address | 16241 Askin Drive #103
Pine Mountain Club, CA 93222 |
County | Kern |
License Status | Active |
License Original Issue Date | 4/19/2006 |
License Expiration Date | 9/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |