CA Wall License 2084 Information
Name | Jessida Putkaew |
License Number | 2084 |
Individual or Organization | O |
Address | 1414 Castro St.
San Francisco, CA 94114 |
County | San Francisco |
License Status | Active |
License Original Issue Date | 1/3/2022 |
License Expiration Date | 4/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |