CA Wall License 3130 Information
| Name | Jae Chang Park |
| License Number | 3130 |
| Individual or Organization | O |
| Address | 940 E Main St
Santa Maria, CA 93454 |
| County | Santa Barbara |
| License Status | Active |
| License Original Issue Date | 6/17/2022 |
| License Expiration Date | 7/31/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |