CA Wall License 2099

CA Wall License 2099 Information

Name Roger Chan
License Number2099
Individual or OrganizationO
Address206 E Las Tunas Drive #12
San Gabriel, CA 91776
CountyLos Angeles
License StatusDelinquent
License Original Issue Date2/20/1997
License Expiration Date4/30/2022
License TypeWall License
AgencyAcupuncture Board