CA Wall License 2764 Information
Name | Hao Zhao Tan |
License Number | 2764 |
Individual or Organization | O |
Address | 8118 E Garvey Avenue #c
Rosemead, CA 91770 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 7/24/1996 |
License Expiration Date | 10/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |