CA Wall License 676 Information
Name | Kee W Song |
License Number | 676 |
Individual or Organization | O |
Address | 3337 W Olympic Blvd.
Los Angeles, CA 90019 |
County | Los Angeles |
License Status | Active |
License Original Issue Date | 6/16/2021 |
License Expiration Date | 7/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |