CA Wall License 1052

CA Wall License 1052 Information

Name Marie-Ange Ellison
License Number1052
Individual or OrganizationO
Address7777 Center Avenue
Huntington Beach, CA 92647
CountyOrange
License StatusActive
License Original Issue Date10/1/2015
License Expiration Date2/28/2023
License TypeWall License
AgencyAcupuncture Board