CA Wall License 1154 Information
Name | Chutima Zhao |
License Number | 1154 |
Individual or Organization | O |
Address | 1149 North Second Street
El Cajon, CA 92021 |
County | San Diego |
License Status | Delinquent |
License Original Issue Date | 8/23/2021 |
License Expiration Date | 5/31/2022 |
License Type | Wall License |
Agency | Acupuncture Board |