CA Wall License 72 Information
Name | Lisa Y Wang |
License Number | 72 |
Individual or Organization | O |
Address | 1840 San Miguel Drive, #203
Walnut Creek, CA 94596 |
County | Contra Costa |
License Status | Active |
License Original Issue Date | 2/1/2021 |
License Expiration Date | 1/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |