CA Wall License 2918 Information
Name | Jeffery Averill |
License Number | 2918 |
Individual or Organization | O |
Address | 5175 E Pacific Coast Hwy #104
Long Beach, CA 90804 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 7/22/2000 |
License Expiration Date | 5/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |