Lakewood, CA
Suspended — Family Support
Nov 14, 2025Primary Status: CLEAR Family Sup Susp
Family support temporary license
Oct 14, 2025Family support temporary license
Jul 17, 2025Family support temporary license
Aug 14, 2024License renewed
Apr 1, 2024City: LONG BEACH LAKEWOOD
Mailing Address: 5738 HARDWICK STREET 4067 HARDWICK STREET 156
ZIP Code: 90808 90712
Expiration Date: 2024-03-31 2026-03-31
Workers Comp Effective Date: 2022-03-22 2024-03-30
License issued
Mar 23, 2018