CA Wall License 464

CA Wall License 464 Information

Name Bret Ellington
License Number464
Individual or OrganizationO
Address15090 Kensington Park Dr, Suite 430
Tustin, CA 92782
CountyOrange
License StatusActive
License Original Issue Date3/1/2021
License Expiration Date2/28/2023
License TypeWall License
AgencyAcupuncture Board