Marina Del Rey, CA
Workers' comp renewed
Apr 11, 2026License reinstated
Feb 12, 2026Primary Status: Work Comp Susp CLEAR
Workers' comp coverage changed
Feb 12, 2026Suspended — Workers' Comp
Nov 21, 2025Primary Status: CLEAR Work Comp Susp
Workers' comp coverage changed
Nov 21, 2025Workers' comp suspension pending
Oct 7, 2025Secondary Status: WC Susp Pending
License data updated
Oct 7, 2025Workers' comp coverage obtained
Nov 22, 2024Mailing Address: 3121 STANFORD AVE PO BOX 12980
Expiration Date: 2024-09-30 2026-09-30
Workers Comp Policy Number: 9367915
Workers Comp Effective Date: 2022-08-11 2024-10-02
Workers Comp Expiration Date: 2025-10-02
Workers Comp Insurance Company: STATE COMPENSATION INSURANCE FUND
Workers Comp Coverage Type: Exempt Workers' Compensation Insurance
License issued
Sep 15, 1988