CA Wall License 457

CA Wall License 457 Information

Name Bret Ellington
License Number457
Individual or OrganizationO
Address22762 Aspan St #201
Lake Forest, CA 92630
CountyOrange
License StatusActive
License Original Issue Date3/1/2021
License Expiration Date2/28/2023
License TypeWall License
AgencyAcupuncture Board