CA Wall License 1392 Information
Name | Son-Mi Lee |
License Number | 1392 |
Individual or Organization | O |
Address | 15076 Golden West Street
Huntington Beach, CA 92647 |
County | Orange |
License Status | Active |
License Original Issue Date | 3/23/2004 |
License Expiration Date | 4/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |