CA Wall License 1558 Information
Name | Yuan Si |
License Number | 1558 |
Individual or Organization | O |
Address | 20445 Pacifica Dr Unit A-1 Cupertino, CA 95014 |
County | Santa Clara |
License Status | Active |
License Original Issue Date | 10/13/2021 |
License Expiration Date | 2/29/2024 |
License Type | Wall License |
Agency | Acupuncture Board |