CA Licensed Acupuncturist 18626

CA Licensed Acupuncturist 18626 Information

NameJonathan William Black
License Number18626
Individual or OrganizationI
Address12 Calais
Irvine, CA 92602
CountyOrange
License StatusActive
License Original Issue Date7/15/2019
License Expiration Date4/30/2023
License TypeLicensed Acupuncturist
AgencyAcupuncture Board
SchoolSouth Baylo University