CA Wall License 801 Information
| Name | Jasmine Casupanan |
| License Number | 801 |
| Individual or Organization | O |
| Address | 18307 Lapis Lane
San Bernardino, CA 92407 |
| County | San Bernardino |
| License Status | Delinquent |
| License Original Issue Date | 5/17/2021 |
| License Expiration Date | 9/30/2022 |
| License Type | Wall License |
| Agency | Acupuncture Board |