CA Wall License 367 Information
Name | Staysea Sumner |
License Number | 367 |
Individual or Organization | O |
Address | 28645 S Western Ave
Rancho Palos Verdes, CA 90275 |
County | Los Angeles |
License Status | Delinquent |
License Original Issue Date | 4/11/2021 |
License Expiration Date | 6/30/2021 |
License Type | Wall License |
Agency | Acupuncture Board |