CA Wall License 2129 Information
Name | Shahla Hashemizad |
License Number | 2129 |
Individual or Organization | O |
Address | 4997 Murchio Drive
Concord, CA 94521 |
County | Contra Costa |
License Status | Active |
License Original Issue Date | 7/3/2019 |
License Expiration Date | 5/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |