CA Wall License 676

CA Wall License 676 Information

Name Kee W Song
License Number676
Individual or OrganizationO
Address3337 W Olympic Blvd.
Los Angeles, CA 90019
CountyLos Angeles
License StatusActive
License Original Issue Date6/16/2021
License Expiration Date7/31/2023
License TypeWall License
AgencyAcupuncture Board