CA Wall License 3540 Information
Name | Robert Banever |
License Number | 3540 |
Individual or Organization | O |
Address | 2961 Royal Oaks Drive
Duarte, CA 91010 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 2/11/1978 |
License Expiration Date | 9/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |