CA Wall License 1954

CA Wall License 1954 Information

Name Koran Ishikawa
License Number1954
Individual or OrganizationO
Address948 Dolores Avenue
Unit B
Los Altos, CA 94024
CountySanta Clara
License StatusActive
License Original Issue Date12/9/2021
License Expiration Date12/31/2022
License TypeWall License
AgencyAcupuncture Board