Anaheim, CA
License data updated
Oct 14, 2025License renewed
Jul 16, 2024City: WESTMINSTER ANAHEIM
Mailing Address: 9191 BOLSA AVENUE STE 206 2166 W BROADWAY UNIT 770
ZIP Code: 92683 92804
Expiration Date: 2024-03-31 2026-03-31
Workers Comp Effective Date: 2022-03-04 2024-07-15
License issued
Mar 21, 2022