CA Wall License 810 Information
| Name | Brian Laforgia |
| License Number | 810 |
| Individual or Organization | O |
| Address | 27 A Reed Blvd
Mill Valley, CA 94941 |
| County | Marin |
| License Status | Delinquent |
| License Original Issue Date | 2/24/1979 |
| License Expiration Date | 8/31/2022 |
| License Type | Wall License |
| Agency | Acupuncture Board |