CA Wall License 963

CA Wall License 963 Information

Name Jiyeon Park
License Number963
Individual or OrganizationO
Address366 San Miguel Dr Ste 300
Newport Beach, CA 92660
CountyOrange
License StatusActive
License Original Issue Date8/3/2021
License Expiration Date8/31/2023
License TypeWall License
AgencyAcupuncture Board