CA Wall License 1181

CA Wall License 1181 Information

Name Sang Jo Kim
License Number1181
Individual or OrganizationO
Address12402 Industrial Blvd
Victorville, CA 92395
CountySan Bernardino
License StatusActive
License Original Issue Date10/4/2001
License Expiration Date7/31/2023
License TypeWall License
AgencyAcupuncture Board