CA Wall License 1442

CA Wall License 1442 Information

Name Russell Koester
License Number1442
Individual or OrganizationO
Address1212 Farmers Lane, Suite 3
Santa Rosa, CA 95405
CountySonoma
License StatusActive
License Original Issue Date5/21/2018
License Expiration Date9/30/2023
License TypeWall License
AgencyAcupuncture Board