CA Wall License 1868 Information
Name | Jiangtao Liu |
License Number | 1868 |
Individual or Organization | O |
Address | 121 El Camino Real
San Bruno, CA 94066 |
County | San Mateo |
License Status | Active |
License Original Issue Date | 7/24/2020 |
License Expiration Date | 11/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |