CA Wall License 497

CA Wall License 497 Information

Name Jae Park
License Number497
Individual or OrganizationO
Address17547 Chatsworth St
Ste 1/2
Granada Hills, CA 91344
CountyLos Angeles
License StatusActive
License Original Issue Date5/6/2021
License Expiration Date1/31/2023
License TypeWall License
AgencyAcupuncture Board