CA Wall License 460

CA Wall License 460 Information

Name Bret Ellington
License Number460
Individual or OrganizationO
Address32585 Golden Lantern Suite J
Dana Point, CA 92629
CountyOrange
License StatusActive
License Original Issue Date3/1/2021
License Expiration Date2/28/2023
License TypeWall License
AgencyAcupuncture Board