CA Wall License 1273

CA Wall License 1273 Information

Name Cheng Guang Shi
License Number1273
Individual or OrganizationO
Address1186 Los Altos Ave
Los Altos, CA 94022
CountySanta Clara
License StatusActive
License Original Issue Date8/31/2021
License Expiration Date9/30/2023
License TypeWall License
AgencyAcupuncture Board