CA Licensed Acupuncturist 17768

CA Licensed Acupuncturist 17768 Information

NameJeannie Wong
License Number17768
Individual or OrganizationI
Address1550 Mirasol Dr
San Marino, CA 91108
CountyLos Angeles
License StatusActive
License Original Issue Date9/28/2017
License Expiration Date9/30/2024
License TypeLicensed Acupuncturist
AgencyAcupuncture Board
SchoolSouth Baylo University