CA Wall License 2491 Information
| Name | Shao An Tian |
| License Number | 2491 |
| Individual or Organization | O |
| Address | 1630 Oakland Road Suite A117
San Jose, CA 95131 |
| County | Santa Clara |
| License Status | Active |
| License Original Issue Date | 3/1/2022 |
| License Expiration Date | 4/30/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |