CA Wall License 414

CA Wall License 414 Information

Name Inna Loktenko-Black
License Number414
Individual or OrganizationO
Address3737 Telegraph Rd, Suite F
San Buenaventura, CA 93003
CountyVentura
License StatusActive
License Original Issue Date4/21/2021
License Expiration Date4/30/2023
License TypeWall License
AgencyAcupuncture Board