CA Wall License 743 Information
Name | Antonio Da Silva |
License Number | 743 |
Individual or Organization | O |
Address | 9100 S Sepulveda Blvd #104,
Los Angeles, CA 90045 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 6/30/2021 |
License Expiration Date | 7/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |