CA Wall License 158 Information
Name | Jessica Min |
License Number | 158 |
Individual or Organization | O |
Address | 167 N Bascom Avenue
San Jose, CA 95128 |
County | Santa Clara |
License Status | Active |
License Original Issue Date | 2/26/2021 |
License Expiration Date | 2/28/2023 |
License Type | Wall License |
Agency | Acupuncture Board |