AL039686 | ASC gov

Active

Inactive

Effective Date of Credential

Fri, 04/11/2008 - 12:00

Expiration Date of Credential

Tue, 03/02/2010 - 12:00

Conforms to AQB

No

ID

40462

Certification Type

Licensed

Address

395 CASTANO AVENUE

City

PASADENA

State/Province

CA

Zip

91107

County

LOS ANGELES

State