CA Wall License 3613

CA Wall License 3613 Information

Name Dwayne Lee
License Number3613
Individual or OrganizationO
Address1219 Camino Del Mar
Del Mar, CA 92014
CountySan Diego
License StatusActive
License Original Issue Date9/14/2022
License Expiration Date8/31/2024
License TypeWall License
AgencyAcupuncture Board