El Dorado Hills, CA
License data updated
Jul 23, 2025License renewed
Sep 23, 2023City: ROSEVILLE EL DORADO HILLS
County: Placer El Dorado
Mailing Address: 1197 FORMBY WAY 3021 WHISTLING WAY
ZIP Code: 95747 95762
Expiration Date: 2023-09-30 2025-09-30
Workers Comp Effective Date: 2021-11-03 2023-09-21
License issued
Sep 5, 2001