CA Wall License 874 Information
Name | Jessica Chen |
License Number | 874 |
Individual or Organization | O |
Address | 2712 Wilshire Blvd
Santa Monica, CA 90403 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 10/19/2005 |
License Expiration Date | 2/28/2023 |
License Type | Wall License |
Agency | Acupuncture Board |