CA Wall License 3911

CA Wall License 3911 Information

Name Supiyanun Chongolnee
License Number3911
Individual or OrganizationO
Address1551 N La Brea Ave., Ste. 300,
Los Angeles, CA 90028
CountyLos Angeles
License StatusActive
License Original Issue Date10/31/2022
License Expiration Date10/31/2024
License TypeWall License
AgencyAcupuncture Board