CA Wall License 369 Information
| Name | Siriporn Usanakornkul |
| License Number | 369 |
| Individual or Organization | O |
| Address | 39767 Paseo Padre Pkwy Suite C Fremont, CA 94538 |
| County | Alameda |
| License Status | Active |
| License Original Issue Date | 4/12/2021 |
| License Expiration Date | 4/30/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |