CA Wall License 1151 Information
Name | Theodore Treantafelles |
License Number | 1151 |
Individual or Organization | O |
Address | 1624 E Main Street
Ventura, CA 93001 |
County | Ventura |
License Status | Active |
License Original Issue Date | 8/23/2021 |
License Expiration Date | 12/31/2022 |
License Type | Wall License |
Agency | Acupuncture Board |