CA Wall License 2014 Information
Name | Jae Ho Song |
License Number | 2014 |
Individual or Organization | O |
Address | 28940 Golden Lantern Suite E Laguna Niguel, CA 92677 |
County | Orange |
License Status | Active |
License Original Issue Date | 12/17/2021 |
License Expiration Date | 12/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |