CA Wall License 3397 Information
Name | Lucy Tan |
License Number | 3397 |
Individual or Organization | O |
Address | 2003 B Opportunity Drive, Ste 10
Roseville, CA 95678 |
County | Placer |
License Status | Active |
License Original Issue Date | 8/9/2022 |
License Expiration Date | 8/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |