Santa Rosa, CA
License renewed
Oct 8, 2025Mailing Address: 1229 N DUTTON AVE STE C 600 BICENTENNIAL WAY STE 210
ZIP Code: 95401 95403
Expiration Date: 2025-09-30 2027-09-30
Workers Comp Effective Date: 2014-10-01 2025-10-01
Workers Comp Expiration Date: 2025-10-01 2026-10-01
Workers' comp renewed
Oct 23, 2024Workers' comp suspension pending
Oct 8, 2024Secondary Status: WC Susp Pending
Workers' comp renewed
Sep 28, 2023License issued
Sep 27, 1979