CA Wall License 422

CA Wall License 422 Information

Name Hwan Park
License Number422
Individual or OrganizationO
Address4980 Avila Way
Buena Park, CA 90621
CountyOrange
License StatusDelinquent
License Original Issue Date2/2/2021
License Expiration Date12/31/2022
License TypeWall License
AgencyAcupuncture Board