CA Wall License 1808 Information
Name | Kuoting Lee |
License Number | 1808 |
Individual or Organization | O |
Address | 2131 Homet Rd
San Marino, CA 91108 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 11/17/2021 |
License Expiration Date | 4/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |