CA Wall License 1628

CA Wall License 1628 Information

Name Jae Tek Lee
License Number1628
Individual or OrganizationO
Address8516 S. Figueroa St.
East Los Angeles, CA 90003
CountyLos Angeles
License StatusDelinquent
License Original Issue Date4/2/2003
License Expiration Date9/30/2022
License TypeWall License
AgencyAcupuncture Board