Lake Elsinore, CA
License renewed
Oct 22, 2025City: SANTA ANA LAKE ELSINORE
County: Orange Riverside
Mailing Address: 2125 S CENTER ST APT C 15074 LAUREL LN
ZIP Code: 92704 92530
Expiration Date: 2025-07-31 2027-07-31
Workers Comp Effective Date: 2025-04-30 2025-10-21
License reinstated
May 1, 2025Primary Status: Work Comp Susp CLEAR
Changed to workers' comp exempt
May 1, 2025Suspended — Workers' Comp
Feb 21, 2025Primary Status: CLEAR Work Comp Susp
Workers' comp coverage changed
Feb 21, 2025Workers' comp suspension pending
Jan 7, 2025Secondary Status: WC Susp Pending
Workers' comp renewed
Jan 11, 2024Workers' comp suspension pending
Jan 9, 2024Secondary Status: WC Susp Pending
License issued
Jul 12, 2021