CA Wall License 2099 Information
Name | Roger Chan |
License Number | 2099 |
Individual or Organization | O |
Address | 206 E Las Tunas Drive #12
San Gabriel, CA 91776 |
County | Los Angeles |
License Status | Delinquent |
License Original Issue Date | 2/20/1997 |
License Expiration Date | 4/30/2022 |
License Type | Wall License |
Agency | Acupuncture Board |