CA Wall License 1436 Information
| Name | George Samuel |
| License Number | 1436 |
| Individual or Organization | O |
| Address | 740 Front Street, Suite 250
Santa Cruz, CA 95060 |
| County | Santa Cruz |
| License Status | Active |
| License Original Issue Date | 3/3/2004 |
| License Expiration Date | 8/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |