CA Wall License 1203

CA Wall License 1203 Information

Name Roger Chang
License Number1203
Individual or OrganizationO
Address806 Manhattan Beach Blvd. #109
Manhattan Beach, CA 90266
CountyLos Angeles
License StatusActive
License Original Issue Date3/22/2011
License Expiration Date2/28/2023
License TypeWall License
AgencyAcupuncture Board