CA Licensed Acupuncturist 18746

CA Licensed Acupuncturist 18746 Information

NameTai Phu Nguyen
License Number18746
Individual or OrganizationI
Address12686 Lucille Ave
Garden Grove, CA 92841
CountyOrange
License StatusDelinquent
License Original Issue Date10/29/2019
License Expiration Date12/31/2020
License TypeLicensed Acupuncturist
AgencyAcupuncture Board
SchoolSouth Baylo University