Moreno Valley, CA
License data updated
Jun 11, 2026License renewed
Dec 31, 2025Mailing Address: 10740 VILLAGE RD 13223 WILD SAGE LN
ZIP Code: 92557 92555
Expiration Date: 2025-12-31 2027-12-31
Workers Comp Effective Date: 2024-01-03 2025-12-30
License renewed
Jan 4, 2024City: CHATSWORTH MORENO VALLEY
County: Los Angeles Riverside
Mailing Address: 20851 LASSEN ST APT 18 10740 VILLAGE RD
ZIP Code: 91311 92557
Expiration Date: 2023-12-31 2025-12-31
Workers Comp Effective Date: 2021-11-09 2024-01-03
License issued
Dec 5, 2019