CA Wall License 71 Information
Name | Lisa Y Wang |
License Number | 71 |
Individual or Organization | O |
Address | 1340 S. De Anza Blvd.
San Jose, CA 95129 |
County | Santa Clara |
License Status | Active |
License Original Issue Date | 2/1/2021 |
License Expiration Date | 1/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |