Lake Forest, CA
License renewed
Aug 6, 2024City: IRVINE LAKE FOREST
Mailing Address: 17628 ROSA DREW LN APT 35 B 22772 CENTRE DR100
ZIP Code: 92612 92630
Expiration Date: 2024-08-31 2026-08-31
Workers Comp Effective Date: 2022-08-26 2024-08-05
License issued
Aug 13, 2020