CA Wall License 1558

CA Wall License 1558 Information

Name Yuan Si
License Number1558
Individual or OrganizationO
Address20445 Pacifica Dr
Unit A-1
Cupertino, CA 95014
CountySanta Clara
License StatusActive
License Original Issue Date10/13/2021
License Expiration Date2/29/2024
License TypeWall License
AgencyAcupuncture Board