CA Wall License 2100 Information
Name | Dong Bae |
License Number | 2100 |
Individual or Organization | O |
Address | 925 N Euclid Street
Anaheim, CA 92801 |
County | Orange |
License Status | Active |
License Original Issue Date | 5/31/1998 |
License Expiration Date | 1/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |