CA Wall License 2603 Information
| Name | Itzel Coronado |
| License Number | 2603 |
| Individual or Organization | O |
| Address | 21040 Homestead Rd #102 Cupertino, CA 95014 |
| County | Santa Clara |
| License Status | Active |
| License Original Issue Date | 3/18/2022 |
| License Expiration Date | 3/31/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |