CA Wall License 375

CA Wall License 375 Information

Name Lishu Hickok
License Number375
Individual or OrganizationO
Address2170 S El Camino Real Suite 109-112
Oceanside, CA 92054
CountySan Diego
License StatusActive
License Original Issue Date10/6/2017
License Expiration Date4/30/2023
License TypeWall License
AgencyAcupuncture Board