CA Wall License 209 Information
Name | Jaewon Song |
License Number | 209 |
Individual or Organization | O |
Address | 22939 Hawthorne Blvd. Suite # 301
Torrance, CA 90505 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 3/13/2021 |
License Expiration Date | 4/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |