San Rafael, CA
License renewed
Aug 21, 2025City: PENNGROVE SAN RAFAEL
County: Sonoma Marin
Mailing Address: 1842 WEISS LN 29 SEA WAY
ZIP Code: 94951 94901
Expiration Date: 2025-06-30 2027-06-30
Workers Comp Policy Number: CWC01056102 CWC01056103
Workers Comp Effective Date: 2024-08-12 2025-08-12
Workers Comp Expiration Date: 2025-08-12 2026-08-12
Workers' comp renewed
Aug 22, 2024Workers' comp suspension pending
Aug 13, 2024Secondary Status: WC Susp Pending
License issued
Jun 6, 2019