CA Wall License 40 Information
| Name | Shan Mao |
| License Number | 40 |
| Individual or Organization | O |
| Address | 3601 W Magnolia Blve
Burbank, CA 91505 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 1/26/2021 |
| License Expiration Date | 1/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |