OR Licensed Acupuncturist 18805

OR Licensed Acupuncturist 18805 Information

NameSung Gon Kim
License Number18805
Individual or OrganizationI
Address8835 Sw Canyon Lane #135h
Portland, OR 97225
License StatusInactive
License Original Issue Date1/21/2020
License Expiration Date7/31/2023
License TypeLicensed Acupuncturist
AgencyAcupuncture Board
SchoolSouth Baylo University