CA Licensed Acupuncturist 18598

CA Licensed Acupuncturist 18598 Information

NameKunsiri Tantithamma
License Number18598
Individual or OrganizationI
Address951 S Beach Blvd F2046
La Habra, CA 90631
CountyOrange
License StatusDelinquent
License Original Issue Date6/11/2019
License Expiration Date11/30/2020
License TypeLicensed Acupuncturist
AgencyAcupuncture Board
SchoolSouthern California University Of Health Sciences