CA Wall License 463 Information
Name | Bret Ellington |
License Number | 463 |
Individual or Organization | O |
Address | 638 Camino De Los Mares
San Clemente, CA 92673 |
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 |