CA Wall License 1357 Information
Name | Thomas Burnett |
License Number | 1357 |
Individual or Organization | O |
Address | 2254 N First Street
San Jose, CA 95131 |
County | Santa Clara |
License Status | Active |
License Original Issue Date | 10/17/2017 |
License Expiration Date | 3/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |