Anaheim, CA
License data updated
Sep 25, 2025License renewed
Apr 14, 2025City: FULLERTON ANAHEIM
Mailing Address: 751 S STATE COLLEGE BLVD 44 2054 SOUTH MARGIE LANE
ZIP Code: 92831 92802
Expiration Date: 2023-11-30 2025-11-30
Workers Comp Effective Date: 2021-11-18 2025-04-12
License issued
Nov 18, 2019