CA Wall License 2518 Information
Name | Lei Song |
License Number | 2518 |
Individual or Organization | O |
Address | 3007 Huntington Dr Ste 200
Pasadena, CA 91107 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 3/5/2022 |
License Expiration Date | 4/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |