CA Wall License 2582

CA Wall License 2582 Information

Name Edward Dong
License Number2582
Individual or OrganizationO
Address10601 S. De Anza Blvd
Suite 105
Cupertino, CA 95014
CountySanta Clara
License StatusActive
License Original Issue Date3/15/2022
License Expiration Date3/31/2024
License TypeWall License
AgencyAcupuncture Board