CA Wall License 703 Information
| Name | Bonita Makuch |
| License Number | 703 |
| Individual or Organization | O |
| Address | 1346 Foothill Blvd #104
La Canada, CA 91001 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 4/7/2014 |
| License Expiration Date | 6/30/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |