CA Wall License 1158 Information
Name | Larry Becker |
License Number | 1158 |
Individual or Organization | O |
Address | 875 42nd Avenue
San Francisco, CA 94121 |
County | San Francisco |
License Status | Active |
License Original Issue Date | 8/24/2021 |
License Expiration Date | 3/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |