CA Wall License 3586

CA Wall License 3586 Information

Name Shurun Fan
License Number3586
Individual or OrganizationO
Address43201 Bryant Ter
Apt 204
Fremont, CA 94539
CountyAlameda
License StatusActive
License Original Issue Date9/13/2022
License Expiration Date2/28/2024
License TypeWall License
AgencyAcupuncture Board