CA Wall License 58

CA Wall License 58 Information

Name Eun Jin Bark
License Number58
Individual or OrganizationO
Address8237 Sierra Ave.
Fontana, CA 92335
CountySan Bernardino
License StatusDelinquent
License Original Issue Date1/28/2021
License Expiration Date9/30/2021
License TypeWall License
AgencyAcupuncture Board