CA Wall License 2696 Information
Name | Sunsup Jeong |
License Number | 2696 |
Individual or Organization | O |
Address | 615 Woodside Road Suite 3
Redwood City, CA 94061 |
County | San Mateo |
License Status | Active |
License Original Issue Date | 4/5/2022 |
License Expiration Date | 3/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |