Simi Valley, CA
License data updated
Oct 2, 2025License data updated
Apr 2, 2025License reinstated
Feb 14, 2025Primary Status: Work Comp Susp CLEAR
Workers' comp coverage obtained
Feb 14, 2025Workers Comp Suspend Date: 2025-01-30 cleared
Workers Comp Policy Number: WC551378408
Workers Comp Effective Date: 2018-04-30 2025-02-03
Workers Comp Expiration Date: 2025-01-30 2025-10-01
Workers Comp Insurance Company: ZURICH AMERICAN INSURANCE COMPANY
Workers Comp Coverage Type: Exempt Workers' Compensation Insurance
License issued
Oct 13, 1981