CA Wall License 1374

CA Wall License 1374 Information

Name Russell Koester
License Number1374
Individual or OrganizationO
Address144 Stony Point Rd
Santa Rosa, CA 95401
CountySonoma
License StatusActive
License Original Issue Date5/21/2018
License Expiration Date9/30/2023
License TypeWall License
AgencyAcupuncture Board