CA Wall License 1181 Information
Name | Sang Jo Kim |
License Number | 1181 |
Individual or Organization | O |
Address | 12402 Industrial Blvd
Victorville, CA 92395 |
County | San Bernardino |
License Status | Active |
License Original Issue Date | 10/4/2001 |
License Expiration Date | 7/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |