CA Wall License 1900 Information
| Name | Shi Qiao |
| License Number | 1900 |
| Individual or Organization | O |
| Address | 20640 Stevens Creek Blvd
Cupertino, CA 95014 |
| County | Santa Clara |
| License Status | Active |
| License Original Issue Date | 12/4/2021 |
| License Expiration Date | 6/30/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |