CA Wall License 879 Information
Name | Yvonne Lopez |
License Number | 879 |
Individual or Organization | O |
Address | 4030 Birch St, Suite #102
Newport Beach, CA 92660 |
County | Orange |
License Status | Active |
License Original Issue Date | 10/16/2007 |
License Expiration Date | 2/28/2023 |
License Type | Wall License |
Agency | Acupuncture Board |