CA Wall License 1105 Information
| Name | Tiffany Lopez |
| License Number | 1105 |
| Individual or Organization | O |
| Address | 2575 Macarthur Blvd
Oakland, CA 94602 |
| County | Alameda |
| License Status | Active |
| License Original Issue Date | 8/18/2021 |
| License Expiration Date | 8/31/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |