CA Wall License 2721 Information
Name | Se Ryung Park |
License Number | 2721 |
Individual or Organization | O |
Address | 1440 S. Anaheim Blvd. B25 Anaheim, CA 92805 |
County | Orange |
License Status | Active |
License Original Issue Date | 4/6/2022 |
License Expiration Date | 4/30/2024 |
License Type | Wall License |
Agency | Acupuncture Board |