CA Wall License 3304 Information
Name | Ellen Lazares |
License Number | 3304 |
Individual or Organization | O |
Address | 33315 Santiago Road
Acton, CA 93510 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 9/21/1989 |
License Expiration Date | 6/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |