CA Wall License 2189 Information
Name | Sub Lee |
License Number | 2189 |
Individual or Organization | O |
Address | 1440 S Anaheim Blvd. G13 Anaheim, CA 92805 |
County | Orange |
License Status | Active |
License Original Issue Date | 1/19/2022 |
License Expiration Date | 12/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |