CA Wall License 1196 Information
| Name | Karen Mittelstadt |
| License Number | 1196 |
| Individual or Organization | O |
| Address | 8821 Portola Road, Suite A5
Portola Valley, CA 94028 |
| County | San Mateo |
| License Status | Active |
| License Original Issue Date | 9/25/2015 |
| License Expiration Date | 7/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |