CA Wall License 452 Information
Name | Jane Tong Delore |
License Number | 452 |
Individual or Organization | O |
Address | 1600 Broadway
Oakland, CA 94612 |
County | Alameda |
License Status | Active |
License Original Issue Date | 4/28/2021 |
License Expiration Date | 12/31/2022 |
License Type | Wall License |
Agency | Acupuncture Board |