CA Wall License 3593

CA Wall License 3593 Information

Name Amos Park
License Number3593
Individual or OrganizationO
Address5924 Stoneridge Drive
Ste 204a
Pleasanton, CA 94588
CountyAlameda
License StatusActive
License Original Issue Date12/24/2020
License Expiration Date6/30/2024
License TypeWall License
AgencyAcupuncture Board