CA Wall License 1550 Information
Name | Kun Tian |
License Number | 1550 |
Individual or Organization | O |
Address | 5043 Graves Avenue, Unit F
San Jose, CA 95129 |
County | Santa Clara |
License Status | Active |
License Original Issue Date | 5/17/2018 |
License Expiration Date | 9/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |