CA Wall License 1535 Information
Name | Yan Mei Gong |
License Number | 1535 |
Individual or Organization | O |
Address | 2440 S Hacienda Blvd #127
Hacienda Heights, CA 91745 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 5/24/2019 |
License Expiration Date | 5/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |