CA Wall License 838

CA Wall License 838 Information

Name Siyeon Park
License Number838
Individual or OrganizationO
Address440 Shatto Place
East Los Angeles, CA 90020
CountyLos Angeles
License StatusDelinquent
License Original Issue Date7/13/2021
License Expiration Date11/30/2021
License TypeWall License
AgencyAcupuncture Board