CA Wall License 2975

CA Wall License 2975 Information

Name Elizabeth Kotek
License Number2975
Individual or OrganizationO
Address2712 Wilshire Blvd
Santa Monica, CA 90403
CountyLos Angeles
License StatusActive
License Original Issue Date4/19/2006
License Expiration Date2/29/2024
License TypeWall License
AgencyAcupuncture Board