CA Wall License 995 Information
Name | Lixia Hardison |
License Number | 995 |
Individual or Organization | O |
Address | 4425 Jamboree Rd Ste 129
Newport Beach, CA 92660 |
County | Orange |
License Status | Active |
License Original Issue Date | 8/9/2021 |
License Expiration Date | 8/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |