Tarzana, CA
License data updated
Nov 25, 2025License renewed
May 17, 2024City: VAN NUYS TARZANA
Mailing Address: 7412 BALBOA BLVD UNIT 3 18902 VICTORY BLVD
ZIP Code: 91406 91335
Expiration Date: 2024-01-31 2026-01-31
Workers Comp Effective Date: 2022-01-18 2024-05-16
License issued
Dec 4, 1992