CA Wall License 128 Information
Name | Yae Chang |
License Number | 128 |
Individual or Organization | O |
Address | 1640 Newport Blvd #400
Costa Mesa, CA 92627 |
County | Orange |
License Status | Active |
License Original Issue Date | 2/22/2021 |
License Expiration Date | 2/28/2023 |
License Type | Wall License |
Agency | Acupuncture Board |