CA Wall License 201 Information
Name | Li-Ren Wen |
License Number | 201 |
Individual or Organization | O |
Address | 1220 University Drive, Suite 204
Menlo Park, CA 94025 |
County | San Mateo |
License Status | Active |
License Original Issue Date | 3/9/2021 |
License Expiration Date | 3/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |