CA Wall License 2965

CA Wall License 2965 Information

Name Fengli Lan
License Number2965
Individual or OrganizationO
Address5403 Scotts Valley Dr.
Suite A
Scotts Valley, CA 95066
CountySanta Cruz
License StatusActive
License Original Issue Date5/20/2022
License Expiration Date6/30/2024
License TypeWall License
AgencyAcupuncture Board