CA Wall License 3676

CA Wall License 3676 Information

Name Kevin Young
License Number3676
Individual or OrganizationO
Address884 Eastlake Pkwy #1617,
Chula Vista, CA 91914
CountySan Diego
License StatusActive
License Original Issue Date9/28/2022
License Expiration Date10/31/2023
License TypeWall License
AgencyAcupuncture Board