CA Wall License 854 Information
Name | Lisa Lee |
License Number | 854 |
Individual or Organization | O |
Address | 6695 E. Pacific Coast Hwy, Suite 250
Long Beach, CA 90803 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 6/17/2021 |
License Expiration Date | 1/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |