CA Wall License 607 Information
Name | Kevin De Comines |
License Number | 607 |
Individual or Organization | O |
Address | 12401 Wilshire Ave Suite 103
W Los Angeles, CA 90025 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 6/1/2021 |
License Expiration Date | 7/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |