CA Wall License 590 Information
Name | Candace Lopez |
License Number | 590 |
Individual or Organization | O |
Address | 148 Main Street Suite G
Seal Beach, CA 90740 |
County | Orange |
License Status | Active |
License Original Issue Date | 5/26/2021 |
License Expiration Date | 5/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |