CA Wall License 638 Information
Name | Chungeun Kim |
License Number | 638 |
Individual or Organization | O |
Address | 10430 S. De Anza Blvd #195
Cupertino, CA 95014 |
County | Santa Clara |
License Status | Active |
License Original Issue Date | 6/9/2021 |
License Expiration Date | 6/30/2023 |
License Type | Wall License |
Agency | Acupuncture Board |