CA Wall License 296

CA Wall License 296 Information

Name Kochin Lee
License Number296
Individual or OrganizationO
Address101 West Church
Ste 4
Ukiah, CA 95482
CountyMendocino
License StatusActive
License Original Issue Date5/9/2003
License Expiration Date4/30/2023
License TypeWall License
AgencyAcupuncture Board