CA Wall License 80 Information
Name | Ruth Antonia Sie |
License Number | 80 |
Individual or Organization | O |
Address | 5855 Green Valley Circle Suite 106 Culver City, CA 90230 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 2/4/2021 |
License Expiration Date | 2/29/2024 |
License Type | Wall License |
Agency | Acupuncture Board |