CA Wall License 1753

CA Wall License 1753 Information

Name Sam Lyeon Moon
License Number1753
Individual or OrganizationO
Address1220 University Drive Suite 202b
Menlo Park, CA 94025
CountySan Mateo
License StatusActive
License Original Issue Date11/6/2021
License Expiration Date7/31/2023
License TypeWall License
AgencyAcupuncture Board