CA Wall License 3705 Information
| Name | Thomas Leichardt |
| License Number | 3705 |
| Individual or Organization | O |
| Address | 276 S 19th St
San Jose, CA 95116 |
| County | Santa Clara |
| License Status | Active |
| License Original Issue Date | 10/4/2022 |
| License Expiration Date | 9/30/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |