CA Wall License 946 Information
Name | Payam Pourkashef |
License Number | 946 |
Individual or Organization | O |
Address | 901 Dover Drive Suite 226 Newport Beach, CA 92660 |
County | Orange |
License Status | Active |
License Original Issue Date | 7/31/2021 |
License Expiration Date | 8/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |