CA Wall License 743

CA Wall License 743 Information

Name Antonio Da Silva
License Number743
Individual or OrganizationO
Address9100 S Sepulveda Blvd #104,
Los Angeles, CA 90045
CountyLos Angeles
License StatusActive
License Original Issue Date6/30/2021
License Expiration Date7/31/2023
License TypeWall License
AgencyAcupuncture Board