CA Wall License 2970

CA Wall License 2970 Information

Name Mahboubeh Shamaeizadeh
License Number2970
Individual or OrganizationO
Address11145 Tampa Avenue #14a
Porter Ranch, CA 91326
CountyLos Angeles
License StatusActive
License Original Issue Date3/2/2005
License Expiration Date5/31/2024
License TypeWall License
AgencyAcupuncture Board