CA Wall License 638

CA Wall License 638 Information

Name Chungeun Kim
License Number638
Individual or OrganizationO
Address10430 S. De Anza Blvd #195
Cupertino, CA 95014
CountySanta Clara
License StatusActive
License Original Issue Date6/9/2021
License Expiration Date6/30/2023
License TypeWall License
AgencyAcupuncture Board