CA Wall License 466

CA Wall License 466 Information

Name Bret Ellington
License Number466
Individual or OrganizationO
Address405 Corte Madera Town Center
Corte Madera, CA 94925
CountyMarin
License StatusActive
License Original Issue Date3/1/2021
License Expiration Date2/28/2023
License TypeWall License
AgencyAcupuncture Board