CA Wall License 2369

CA Wall License 2369 Information

Name Thomas Siemann
License Number2369
Individual or OrganizationO
Address2550 Shattuck Ave
Berkeley, CA 94704
CountyAlameda
License StatusDelinquent
License Original Issue Date2/11/2022
License Expiration Date4/30/2024
License TypeWall License
AgencyAcupuncture Board