CA Wall License 2533 Information
Name | Chenxin Wan |
License Number | 2533 |
Individual or Organization | O |
Address | 701 Judith Court
Petaluma, CA 94952 |
County | Sonoma |
License Status | Active |
License Original Issue Date | 10/19/2005 |
License Expiration Date | 12/31/2022 |
License Type | Wall License |
Agency | Acupuncture Board |