Andy Keith Kongsakul
ActiveCalifornia license 12933
License
- Licensed by
- California State Board of Optometry
- License number
- 12933
- Status
- Active (Current)
- First issued
- January 22, 2019
- Expires
- August 31, 2027
- License holder
- Andy Keith Kongsakul
- Entity type
- Individual
Classifications
- Statement of Licensure Vision & Hearing
More from the license record
- License type code
- 4203
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Contact
5269 Lankershim Blvd
North Hollywood, CA 91601-3111
North Hollywood, CA 91601-3111