CA Wall License 1413

CA Wall License 1413 Information

Name Tien Chao
License Number1413
Individual or OrganizationO
Address1021 S Wolfe Road #100
Sunnyvale, CA 94086
CountySanta Clara
License StatusActive
License Original Issue Date8/4/2004
License Expiration Date9/30/2023
License TypeWall License
AgencyAcupuncture Board