CA Wall License 482 Information
Name | Edward Lee |
License Number | 482 |
Individual or Organization | O |
Address | 651 Cherry St
Santa Rosa, CA 95404 |
County | Sonoma |
License Status | Active |
License Original Issue Date | 5/3/2021 |
License Expiration Date | 4/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |