CA Wall License 3097 Information
Name | Lisa Davis |
License Number | 3097 |
Individual or Organization | O |
Address | 121 W E Street
Encinitas, CA 92024 |
County | San Diego |
License Status | Active |
License Original Issue Date | 9/3/1991 |
License Expiration Date | 5/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |