CA Wall License 1286 Information
Name | Shao An Tian |
License Number | 1286 |
Individual or Organization | O |
Address | 1473 Pine St.
San Francisco, CA 94109 |
County | San Francisco |
License Status | Active |
License Original Issue Date | 8/5/2021 |
License Expiration Date | 4/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |