CA Wall License 2369 Information
Name | Thomas Siemann |
License Number | 2369 |
Individual or Organization | O |
Address | 2550 Shattuck Ave
Berkeley, CA 94704 |
County | Alameda |
License Status | Delinquent |
License Original Issue Date | 2/11/2022 |
License Expiration Date | 4/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |