CA Wall License 3577 Information
Name | Xiao Xu |
License Number | 3577 |
Individual or Organization | O |
Address | 12381 Wilshire Blvd #104
Los Angeles, CA 90025 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 9/21/1992 |
License Expiration Date | 8/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |