Laguna Beach, CA
Workers' comp renewed
Apr 11, 2026License renewed
Sep 23, 2025Mailing Address: 580 BROADWAY ST UNIT 205 480 BROADWAY ST UNIT 004
Expiration Date: 2025-05-31 2027-05-31
Workers Comp Policy Number: N9WC538897 KWC1404408
Workers Comp Effective Date: 2024-04-22 2025-07-16
Workers Comp Expiration Date: 2025-04-22 2026-07-16
Workers Comp Insurance Company: WELLFLEET INSURANCE COMPANY cleared
Workers' comp suspension pending
Apr 29, 2025Secondary Status: WC Susp Pending
Workers' comp renewed
Mar 22, 2025License reinstated
Oct 3, 2024Primary Status: Work Comp Susp CLEAR
Workers' comp coverage changed
Oct 3, 2024Suspended — Workers' Comp
Jun 7, 2024Primary Status: CLEAR Work Comp Susp
Workers' comp coverage changed
Jun 7, 2024Workers' comp suspension pending
Apr 23, 2024Secondary Status: WC Susp Pending
License issued
May 11, 2021