CA Wall License 1279 Information
Name | Kyung Il Kim |
License Number | 1279 |
Individual or Organization | O |
Address | 4951 Lincoln Ave
Cypress, CA 90630 |
County | Orange |
License Status | Active |
License Original Issue Date | 9/2/2021 |
License Expiration Date | 9/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |