CA Wall License 119 Information
Name | Zhiyin Shan |
License Number | 119 |
Individual or Organization | O |
Address | 2492 Walnut Ave. Suite 260
Tustin, CA 92780 |
County | Orange |
License Status | Active |
License Original Issue Date | 2/19/2021 |
License Expiration Date | 3/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |