CA Wall License 1655 Information
Name | Wonsang Park |
License Number | 1655 |
Individual or Organization | O |
Address | 14795 Jeffrey Road, Suite 104
Irvine, CA 92618 |
County | Orange |
License Status | Active |
License Original Issue Date | 10/21/2021 |
License Expiration Date | 9/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |