CA Wall License 2164 Information
Name | Chang Yong Lee |
License Number | 2164 |
Individual or Organization | O |
Address | 7700 Orangethorpe Ave Suite 5 Buena Park, CA 90621 |
County | Orange |
License Status | Active |
License Original Issue Date | 1/14/2022 |
License Expiration Date | 2/29/2024 |
License Type | Wall License |
Agency | Acupuncture Board |