CA Wall License 1754 Information
Name | Sam Lyeon Moon |
License Number | 1754 |
Individual or Organization | O |
Address | 801 Brewster Ave. Ste.150
Redwood City, CA 94063 |
County | San Mateo |
License Status | Active |
License Original Issue Date | 11/6/2021 |
License Expiration Date | 7/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |