CA Wall License 478 Information
| Name | Alice Goodman |
| License Number | 478 |
| Individual or Organization | O |
| Address | 2905 Stanford Avenue Unit A Marina Del Rey, CA 90292 |
| County | Los Angeles |
| License Status | Delinquent |
| License Original Issue Date | 5/2/2021 |
| License Expiration Date | 12/31/2021 |
| License Type | Wall License |
| Agency | Acupuncture Board |