CA Wall License 896 Information
Name | Byron Fong |
License Number | 896 |
Individual or Organization | O |
Address | 6001 Shellmound Street
Emeryville, CA 94608 |
County | Alameda |
License Status | Active |
License Original Issue Date | 8/30/1983 |
License Expiration Date | 2/29/2024 |
License Type | Wall License |
Agency | Acupuncture Board |