CA Wall License 884 Information
Name | Lucy Pauseback |
License Number | 884 |
Individual or Organization | O |
Address | 7855 Ivanhoe Avenue Suite 212 La Jolla, CA 92037 |
County | San Diego |
License Status | Active |
License Original Issue Date | 9/16/2016 |
License Expiration Date | 3/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |