CA Wall License 1151

CA Wall License 1151 Information

Name Theodore Treantafelles
License Number1151
Individual or OrganizationO
Address1624 E Main Street
Ventura, CA 93001
CountyVentura
License StatusActive
License Original Issue Date8/23/2021
License Expiration Date12/31/2022
License TypeWall License
AgencyAcupuncture Board