CA Wall License 2975 Information
Name | Elizabeth Kotek |
License Number | 2975 |
Individual or Organization | O |
Address | 2712 Wilshire Blvd
Santa Monica, CA 90403 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 4/19/2006 |
License Expiration Date | 2/29/2024 |
License Type | Wall License |
Agency | Acupuncture Board |