CA Wall License 614 Information
Name | Elene Chung |
License Number | 614 |
Individual or Organization | O |
Address | 6050 Commerce Blvd., Suite 104
Rohnert Park, CA 94928 |
County | Sonoma |
License Status | Active |
License Original Issue Date | 6/3/2021 |
License Expiration Date | 6/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |