Los Angeles, CA
Workers' comp renewed
Jan 15, 2026Workers' comp suspension pending
Jan 6, 2026Secondary Status: WC Susp Pending
License renewed
Aug 13, 2025City: MARINA DEL REY LOS ANGELES
Mailing Address: 13428 MAXELLA AVENUE #272 4273 LYCEUM AVE
ZIP Code: 90292 90066
Expiration Date: 2025-08-31 2027-08-31
License data updated
Jun 25, 2025Workers' comp renewed
Dec 27, 2024Workers' comp renewed
Jan 5, 2024Workers' comp suspension pending
Jan 3, 2024Secondary Status: WC Susp Pending
License issued
Oct 28, 1980