CA Wall License 1547 Information
Name | Keon Lee |
License Number | 1547 |
Individual or Organization | O |
Address | 12484 Greene Avenue
Los Angeles, CA 90066 |
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 |