CA Wall License 2085 Information
Name | Stephanie Gong |
License Number | 2085 |
Individual or Organization | O |
Address | 4080 East Ave
Livermore, CA 94550 |
County | Alameda |
License Status | Active |
License Original Issue Date | 1/3/2022 |
License Expiration Date | 1/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |