San Francisco, CA
License data updated
Jun 28, 2025Changed to workers' comp exempt
Jun 20, 2025Workers' comp suspension pending
Jun 17, 2025Secondary Status: WC Susp Pending
Workers' comp coverage obtained
Jun 13, 2024Mailing Address: 388 PARK ST APT A 120 TAPIA DR
Workers Comp Policy Number: FOWC573881
Workers Comp Effective Date: 2023-06-26 2024-06-10
Workers Comp Expiration Date: 2025-06-10
Workers Comp Insurance Company: NORGUARD INSURANCE COMPANY
Workers Comp Coverage Type: Exempt Workers' Compensation Insurance
License issued
Jan 14, 2022