CA Wall License 963 Information
Name | Jiyeon Park |
License Number | 963 |
Individual or Organization | O |
Address | 366 San Miguel Dr Ste 300
Newport Beach, CA 92660 |
County | Orange |
License Status | Active |
License Original Issue Date | 8/3/2021 |
License Expiration Date | 8/31/2023 |
License Type | Wall License |
Agency | Acupuncture Board |