CA Wall License 3813 Information
Name | Changbae Kim |
License Number | 3813 |
Individual or Organization | O |
Address | 1440 S. Anaheim Blvd Marketplace #i-40 Anaheim, CA 92805 |
County | Orange |
License Status | Active |
License Original Issue Date | 10/18/2022 |
License Expiration Date | 10/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |