CA Wall License 405 Information
Name | Yang Taek Im |
License Number | 405 |
Individual or Organization | O |
Address | 2705 W 8th Street #b
Los Angeles, CA 90005 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 4/19/2021 |
License Expiration Date | 3/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |