CA Wall License 2764

CA Wall License 2764 Information

Name Hao Zhao Tan
License Number2764
Individual or OrganizationO
Address8118 E Garvey Avenue #c
Rosemead, CA 91770
CountyLos Angeles
License StatusActive
License Original Issue Date7/24/1996
License Expiration Date10/31/2023
License TypeWall License
AgencyAcupuncture Board