CA Wall License 1025 Information
Name | Soung Ho Lee |
License Number | 1025 |
Individual or Organization | O |
Address | 14435 Hamlin Street #109
Van Nuys, CA 91401 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 10/17/2003 |
License Expiration Date | 2/28/2023 |
License Type | Wall License |
Agency | Acupuncture Board |