Tarzana, CA
Workers' comp renewed
Aug 22, 2025Workers' comp suspension pending
Aug 19, 2025Secondary Status: WC Susp Pending
License renewed
May 8, 2025City: ENCINO TARZANA
Mailing Address: 17547 VENTURA BLVD #307A 18740 W OXNARD ST315
ZIP Code: 91316 91356
Expiration Date: 2025-06-30 2027-06-30
License data updated
Apr 23, 2025License issued
Jun 20, 2019