CA Wall License 3064 Information
| Name | Susan Park |
| License Number | 3064 |
| Individual or Organization | O |
| Address | 1516 E Lincoln Avenue
Orange, CA 92865 |
| County | Orange |
| License Status | Active |
| License Original Issue Date | 5/4/2022 |
| License Expiration Date | 5/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |