San Diego, CA
License data updated
Sep 27, 2024License renewed
Jul 25, 2024City: SANTA BARBARA SAN DIEGO
County: Santa Barbara San Diego
Mailing Address: 5085 RHOADS AVENUE UNIT D 17161 ALVA ROAD UNIT 2722
ZIP Code: 93111 92127
Expiration Date: 2023-12-31 2025-12-31
Workers Comp Effective Date: 2022-01-03 2024-04-16
Suspended — Out-of-State Liability
Nov 14, 2023Primary Status: CLEAR Out Liab Susp
License issued
Jul 25, 1988