Warner Springs, CA
License reinstated
Oct 28, 2025Primary Status: Work Comp Susp CLEAR
Workers' comp coverage changed
Oct 28, 2025Suspended — Workers' Comp
Oct 10, 2025Primary Status: CLEAR Work Comp Susp
Workers' comp coverage changed
Oct 10, 2025Workers' comp suspension pending
Aug 26, 2025Secondary Status: WC Susp Pending
Workers' comp coverage obtained
Feb 28, 2025Workers Comp Policy Number: N9WC517349
Workers Comp Effective Date: 2024-10-09 2024-08-23
Workers Comp Expiration Date: 2025-08-23
Workers Comp Insurance Company: ATLANTA INTERNATIONAL INSURANCE COMPANY
Workers Comp Coverage Type: Exempt Workers' Compensation Insurance
Workers' comp renewed
Oct 12, 2024License renewed
Oct 10, 2024City: FALLBROOK WARNER SPRINGS
Mailing Address: 3079 FOUR CLOVER COURT PO BOX 291
ZIP Code: 92028 92086
Expiration Date: 2024-10-31 2026-10-31
License issued
Oct 2, 2020