CA Wall License 457 Information
Name | Bret Ellington |
License Number | 457 |
Individual or Organization | O |
Address | 22762 Aspan St #201
Lake Forest, CA 92630 |
County | Orange |
License Status | Active |
License Original Issue Date | 3/1/2021 |
License Expiration Date | 2/28/2023 |
License Type | Wall License |
Agency | Acupuncture Board |