CA Wall License 623 Information
Name | Kristine Blikian |
License Number | 623 |
Individual or Organization | O |
Address | 1600 Victory Blvd
Glendale, CA 91201 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 6/7/2021 |
License Expiration Date | 6/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |