CA Wall License 2617 Information
Name | Ki Chang |
License Number | 2617 |
Individual or Organization | O |
Address | 1042 1/2 S Berendo Street
Los Angeles, CA 90006 |
County | Los Angeles |
License Status | Delinquent |
License Original Issue Date | 3/30/2001 |
License Expiration Date | 3/31/2022 |
License Type | Wall License |
Agency | Acupuncture Board |