CA Wall License 367

CA Wall License 367 Information

Name Staysea Sumner
License Number367
Individual or OrganizationO
Address28645 S Western Ave
Rancho Palos Verdes, CA 90275
CountyLos Angeles
License StatusDelinquent
License Original Issue Date4/11/2021
License Expiration Date6/30/2021
License TypeWall License
AgencyAcupuncture Board