CA Wall License 422 Information
Name | Hwan Park |
License Number | 422 |
Individual or Organization | O |
Address | 4980 Avila Way
Buena Park, CA 90621 |
County | Orange |
License Status | Delinquent |
License Original Issue Date | 2/2/2021 |
License Expiration Date | 12/31/2022 |
License Type | Wall License |
Agency | Acupuncture Board |