OR Licensed Acupuncturist 18805 Information
Name | Sung Gon Kim |
License Number | 18805 |
Individual or Organization | I |
Address | 8835 Sw Canyon Lane #135h
Portland, OR 97225 |
License Status | Inactive |
License Original Issue Date | 1/21/2020 |
License Expiration Date | 7/31/2023 |
License Type | Licensed Acupuncturist |
Agency | Acupuncture Board |
School | South Baylo University |