CA Wall License 667 Information
Name | Tracy Erickson |
License Number | 667 |
Individual or Organization | O |
Address | 5017 Lewis Road
Agoura Hills, CA 91301 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 10/24/2003 |
License Expiration Date | 4/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |