CA Wall License 2965 Information
Name | Fengli Lan |
License Number | 2965 |
Individual or Organization | O |
Address | 5403 Scotts Valley Dr. Suite A Scotts Valley, CA 95066 |
County | Santa Cruz |
License Status | Active |
License Original Issue Date | 5/20/2022 |
License Expiration Date | 6/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |