CA Wall License 1506 Information
Name | Kwon Chung |
License Number | 1506 |
Individual or Organization | O |
Address | 14241 Imperial Hwy Ste J
La Mirada, CA 90638 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 10/7/2021 |
License Expiration Date | 11/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |