CA Wall License 923 Information
Name | Dia Vickery |
License Number | 923 |
Individual or Organization | O |
Address | 20700 Ventura Blvd., Suite 229
Woodland Hills, CA 91364 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 7/27/2021 |
License Expiration Date | 8/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |