CA Wall License 211 Information
Name | Fangli Chung |
License Number | 211 |
Individual or Organization | O |
Address | 812 E Chapman Avenue
Fullerton, CA 92831 |
County | Orange |
License Status | Active |
License Original Issue Date | 3/13/2021 |
License Expiration Date | 4/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |