CA Wall License 1965 Information
Name | Anne Alyse Ostis |
License Number | 1965 |
Individual or Organization | O |
Address | 761 University Ave., Ste. B
Los Gatos, CA 95032 |
County | Santa Clara |
License Status | Active |
License Original Issue Date | 12/14/2021 |
License Expiration Date | 12/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |