CA Wall License 464 Information
Name | Bret Ellington |
License Number | 464 |
Individual or Organization | O |
Address | 15090 Kensington Park Dr, Suite 430
Tustin, CA 92782 |
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 |