CA Wall License 1628 Information
Name | Jae Tek Lee |
License Number | 1628 |
Individual or Organization | O |
Address | 8516 S. Figueroa St.
East Los Angeles, CA 90003 |
County | Los Angeles |
License Status | Delinquent |
License Original Issue Date | 4/2/2003 |
License Expiration Date | 9/30/2022 |
License Type | Wall License |
Agency | Acupuncture Board |