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 |