CA Wall License 472 Information
Name | Eugene Park |
License Number | 472 |
Individual or Organization | O |
Address | 1201 S Beach Blvd 107 La Habra, CA 90631 |
County | Orange |
License Status | Active |
License Original Issue Date | 4/29/2021 |
License Expiration Date | 4/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |