CA Wall License 209

CA Wall License 209 Information

Name Jaewon Song
License Number209
Individual or OrganizationO
Address22939 Hawthorne Blvd. Suite # 301
Torrance, CA 90505
CountyLos Angeles
License StatusActive
License Original Issue Date3/13/2021
License Expiration Date4/30/2023
License TypeWall License
AgencyAcupuncture Board