CA Wall License 2808 Information
Name | Lisa Lee |
License Number | 2808 |
Individual or Organization | O |
Address | 2900 Bristol St Suite J205 Costa Mesa, CA 92626 |
County | Orange |
License Status | Active |
License Original Issue Date | 4/21/2022 |
License Expiration Date | 1/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |