CA Wall License 1612 Information
Name | Jungeun Nam |
License Number | 1612 |
Individual or Organization | O |
Address | 12568 W Washington Blvd Ste 202 Culver City, CA 90066 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 10/17/2021 |
License Expiration Date | 10/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |