CA Wall License 1113 Information
Name | Wei Fang |
License Number | 1113 |
Individual or Organization | O |
Address | 2105 Beverly Blvd #115
Los Angeles, CA 90057 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 11/15/2007 |
License Expiration Date | 7/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |