Apple Valley, CA
License data updated
Oct 16, 2025License data updated
Sep 25, 2025License renewed
Oct 4, 2023Mailing Address: 20258 HIGHWAY 18STE 430 BOX 483 12277 APPLE VALLEY ROAD291
ZIP Code: 92307 92308
Expiration Date: 2023-11-30 2025-11-30
Workers Comp Effective Date: 2021-11-12 2023-10-03
License issued
Nov 1, 1983