CA Wall License 3247 Information
Name | Diane Bousquin |
License Number | 3247 |
Individual or Organization | O |
Address | 3737 Moraga Avenue Suite A308 San Diego, CA 92117 |
County | San Diego |
License Status | Active |
License Original Issue Date | 7/8/2022 |
License Expiration Date | 6/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |