Poway, CA
License data updated
Oct 29, 2025Suspended — Workers' Comp
Feb 7, 2025Primary Status: CLEAR Work Comp Susp
Workers' comp coverage changed
Feb 7, 2025Workers' comp suspension pending
Dec 24, 2024Secondary Status: WC Susp Pending
License data updated
Dec 24, 2024Workers' comp renewed
Mar 20, 2024License renewed
Mar 12, 2024City: SAN DIEGO POWAY
Mailing Address: 8106 SANTALUZ VILLAGE GREEN N 13795 BLAISDELL PLACE STE 201
ZIP Code: 92127 92064
Expiration Date: 2023-12-31 2025-12-31
License issued
Dec 2, 2021