CA Wall License 561 Information
| Name | Andrew Park |
| License Number | 561 |
| Individual or Organization | O |
| Address | 406 S Prospectors Rd
Diamond Bar, CA 91765 |
| County | Los Angeles |
| License Status | Active |
| License Original Issue Date | 5/19/2021 |
| License Expiration Date | 5/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |