CA Wall License 901 Information
Name | Larry Forsberg |
License Number | 901 |
Individual or Organization | O |
Address | 2411 Ocean Avenue # 202
San Francisco, CA 94127 |
County | San Francisco |
License Status | Active |
License Original Issue Date | 12/1/1987 |
License Expiration Date | 9/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |