Los Angeles, CA
Suspended — Family Support
Dec 19, 2025Primary Status: CLEAR Family Sup Susp
Family support temporary license
Nov 18, 2025License reinstated
Sep 27, 2025Primary Status: Family Sup Susp CLEAR
Suspended — Family Support
Aug 16, 2025Primary Status: CLEAR Family Sup Susp
Family support temporary license
Mar 19, 2025License renewed
Mar 19, 2025City: NORTH HOLLYWOOD LOS ANGELES
Mailing Address: 11840 HART ST APT 1 1022 S DITMAN AVE
ZIP Code: 91605 90023
Expiration Date: 2024-10-31 2026-10-31
Workers Comp Effective Date: 2023-04-29 2025-03-18
License issued
Oct 11, 2018