CA Wall License 1167 Information
Name | Vie Jen |
License Number | 1167 |
Individual or Organization | O |
Address | 146 E Walnut Avenue
Monrovia, CA 91016 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 10/11/2013 |
License Expiration Date | 7/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |