CA Wall License 838 Information
Name | Siyeon Park |
License Number | 838 |
Individual or Organization | O |
Address | 440 Shatto Place
East Los Angeles, CA 90020 |
County | Los Angeles |
License Status | Delinquent |
License Original Issue Date | 7/13/2021 |
License Expiration Date | 11/30/2021 |
License Type | Wall License |
Agency | Acupuncture Board |