CA Wall License 690 Information
Name | Khiet Le |
License Number | 690 |
Individual or Organization | O |
Address | 2462 King Road, Suite D
San Jose, CA 95122 |
County | Santa Clara |
License Status | Active |
License Original Issue Date | 5/10/2017 |
License Expiration Date | 3/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |