CA Wall License 1400 Information
Name | Chong Chun |
License Number | 1400 |
Individual or Organization | O |
Address | 8741 Van Nuys Blvd, Ste 101-102
Panorama City, CA 91402 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 3/18/2008 |
License Expiration Date | 9/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |