CA Wall License 2533

CA Wall License 2533 Information

Name Chenxin Wan
License Number2533
Individual or OrganizationO
Address701 Judith Court
Petaluma, CA 94952
CountySonoma
License StatusActive
License Original Issue Date10/19/2005
License Expiration Date12/31/2022
License TypeWall License
AgencyAcupuncture Board