CA Wall License 1675 Information
Name | Jaewoong Park |
License Number | 1675 |
Individual or Organization | O |
Address | 1204 S. Bristol St.
Santa Ana, CA 92704 |
County | Orange |
License Status | Active |
License Original Issue Date | 10/25/2021 |
License Expiration Date | 8/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |