CA Wall License 1627

CA Wall License 1627 Information

Name Jae Tek Lee
License Number1627
Individual or OrganizationO
Address13670 Cedar Crest Lane #119h
Seal Beach, CA 90740
CountyOrange
License StatusDelinquent
License Original Issue Date4/2/2003
License Expiration Date9/30/2022
License TypeWall License
AgencyAcupuncture Board