CA Wall License 2003 Information
Name | Samuel Wang |
License Number | 2003 |
Individual or Organization | O |
Address | 824 5th Ave., Suite C
San Rafael, CA 94901 |
County | Marin |
License Status | Active |
License Original Issue Date | 12/17/2021 |
License Expiration Date | 1/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |