Santa Rosa, CA
License data updated
Apr 4, 2026License renewed
Dec 20, 2024City: SAN BRUNO SANTA ROSA
County: San Mateo Sonoma
Mailing Address: 251 MADISON AVE 1046 GADDIS CT
ZIP Code: 94066 95404
Expiration Date: 2025-01-31 2027-01-31
Workers Comp Effective Date: 2023-02-03 2024-12-13
Renewal received
Dec 17, 2024Classification added
Oct 11, 2023License issued
Jan 12, 1993