CA Wall License 2904 Information
Name | Stephanie Wynbrandt |
License Number | 2904 |
Individual or Organization | O |
Address | 349 Richmond Street
El Segundo, CA 90245 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 5/9/2022 |
License Expiration Date | 5/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |