CA Wall License 1627 Information
Name | Jae Tek Lee |
License Number | 1627 |
Individual or Organization | O |
Address | 13670 Cedar Crest Lane #119h
Seal Beach, CA 90740 |
County | Orange |
License Status | Delinquent |
License Original Issue Date | 4/2/2003 |
License Expiration Date | 9/30/2022 |
License Type | Wall License |
Agency | Acupuncture Board |