CA Wall License 1503 Information
Name | Quan Gan |
License Number | 1503 |
Individual or Organization | O |
Address | 29 Birch St Ste 4
Redwood City, CA 94062 |
County | San Mateo |
License Status | Active |
License Original Issue Date | 10/7/2021 |
License Expiration Date | 1/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |