CA Wall License 2625 Information
| Name | Micah Ellis |
| License Number | 2625 |
| Individual or Organization | O |
| Address | 200 Commercial Street
Nevada City, CA 95959 |
| County | Nevada |
| License Status | Active |
| License Original Issue Date | 3/21/2022 |
| License Expiration Date | 3/31/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |