CA Wall License 767 Information
Name | Casey Kim |
License Number | 767 |
Individual or Organization | O |
Address | 1771 W Romneya Drive, Ste E
Anaheim, CA 92801 |
County | Orange |
License Status | Active |
License Original Issue Date | 3/22/2010 |
License Expiration Date | 5/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |