CA Wall License 3236 Information
Name | Diane Bousquin |
License Number | 3236 |
Individual or Organization | O |
Address | 7634 Girard Avenue, Suite T
La Jolla, CA 92037 |
County | San Diego |
License Status | Active |
License Original Issue Date | 7/6/2022 |
License Expiration Date | 6/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |