CA Wall License 1425 Information
Name | Tae Young Lee |
License Number | 1425 |
Individual or Organization | O |
Address | 639 S. Commonwealth Ave. Townhouse #306 Los Angeles, CA 90005 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 9/22/2021 |
License Expiration Date | 9/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |