CA Wall License 2970 Information
Name | Mahboubeh Shamaeizadeh |
License Number | 2970 |
Individual or Organization | O |
Address | 11145 Tampa Avenue #14a
Porter Ranch, CA 91326 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 3/2/2005 |
License Expiration Date | 5/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |