CA Wall License 3413 Information
| Name | John Ellis |
| License Number | 3413 |
| Individual or Organization | O |
| Address | 191 Jefferson Drive Building #281 Menlo Park, CA 94025 |
| County | San Mateo |
| License Status | Active |
| License Original Issue Date | 1/21/2004 |
| License Expiration Date | 1/31/2023 |
| License Type | Wall License |
| Agency | Acupuncture Board |