CA Wall License 2617

CA Wall License 2617 Information

Name Ki Chang
License Number2617
Individual or OrganizationO
Address1042 1/2 S Berendo Street
Los Angeles, CA 90006
CountyLos Angeles
License StatusDelinquent
License Original Issue Date3/30/2001
License Expiration Date3/31/2022
License TypeWall License
AgencyAcupuncture Board