CA Wall License 3463 Information
Name | Irene Su |
License Number | 3463 |
Individual or Organization | O |
Address | 122 E. Olive Ave.
Burbank, CA 91502 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 8/19/2022 |
License Expiration Date | 6/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |