CA Wall License 3911 Information
Name | Supiyanun Chongolnee |
License Number | 3911 |
Individual or Organization | O |
Address | 1551 N La Brea Ave., Ste. 300,
Los Angeles, CA 90028 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 10/31/2022 |
License Expiration Date | 10/31/2024 |
License Type | Wall License |
Agency | Acupuncture Board |