CA Wall License 3739

CA Wall License 3739 Information

Name Mary Jo Komada
License Number3739
Individual or OrganizationO
Address16 Encanto Drive
Rolling Hills Estates, CA 90274
CountyLos Angeles
License StatusActive
License Original Issue Date8/31/1993
License Expiration Date9/30/2024
License TypeWall License
AgencyAcupuncture Board