CA Wall License 2582 Information
Name | Edward Dong |
License Number | 2582 |
Individual or Organization | O |
Address | 10601 S. De Anza Blvd Suite 105 Cupertino, CA 95014 |
County | Santa Clara |
License Status | Active |
License Original Issue Date | 3/15/2022 |
License Expiration Date | 3/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |