CA Wall License 1954 Information
Name | Koran Ishikawa |
License Number | 1954 |
Individual or Organization | O |
Address | 948 Dolores Avenue Unit B Los Altos, CA 94024 |
County | Santa Clara |
License Status | Active |
License Original Issue Date | 12/9/2021 |
License Expiration Date | 12/31/2022 |
License Type | Wall License |
Agency | Acupuncture Board |