CA Wall License 287 Information
Name | Virginia Prior |
License Number | 287 |
Individual or Organization | O |
Address | 510 N.Prospect Ave., Suite 208
Redondo Beach, CA 90277 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 10/31/2005 |
License Expiration Date | 3/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |