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 |