CA Wall License 1208

CA Wall License 1208 Information

Name Jin H Bae
License Number1208
Individual or OrganizationO
Address650e Thousand Oaks
Thousand Oaks, CA 91360
CountyVentura
License StatusActive
License Original Issue Date10/27/1997
License Expiration Date7/31/2023
License TypeWall License
AgencyAcupuncture Board