Simi Valley, CA
License renewed
Jun 19, 2025City: CHATSWORTH SIMI VALLEY
County: Los Angeles Ventura
Mailing Address: 10059 CANOGA AVE 3117 KAWAI COURT
ZIP Code: 91311 93063
Expiration Date: 2025-06-30 2027-06-30
Workers Comp Effective Date: 2023-05-08 2025-06-13
Renewal received
Jun 17, 2025License issued
Jun 8, 1981