CA Wall License 454 Information
Name | Sunnam Kim |
License Number | 454 |
Individual or Organization | O |
Address | 8540 S Sepulveda Blvd Suite, 120 Los Angeles, CA 90045 |
County | Los Angeles |
License Status | Delinquent |
License Original Issue Date | 4/29/2021 |
License Expiration Date | 6/30/2021 |
License Type | Wall License |
Agency | Acupuncture Board |