CA Wall License 3489

CA Wall License 3489 Information

Name Jing Lao
License Number3489
Individual or OrganizationO
Address11640 Jessica Lane
Los Altos Hills, CA 94024
CountySanta Clara
License StatusActive
License Original Issue Date4/2/2013
License Expiration Date12/31/2022
License TypeWall License
AgencyAcupuncture Board