CA Wall License 703

CA Wall License 703 Information

Name Bonita Makuch
License Number703
Individual or OrganizationO
Address1346 Foothill Blvd #104
La Canada, CA 91001
CountyLos Angeles
License StatusActive
License Original Issue Date4/7/2014
License Expiration Date6/30/2023
License TypeWall License
AgencyAcupuncture Board