CA Wall License 1503

CA Wall License 1503 Information

Name Quan Gan
License Number1503
Individual or OrganizationO
Address29 Birch St Ste 4
Redwood City, CA 94062
CountySan Mateo
License StatusActive
License Original Issue Date10/7/2021
License Expiration Date1/31/2023
License TypeWall License
AgencyAcupuncture Board