South Lake Tahoe, CA
Suspended — Workers' Comp
Jun 27, 2025Primary Status: CLEAR Work Comp Susp
Workers' comp coverage changed
Jun 27, 2025Workers' comp suspension pending
May 13, 2025Secondary Status: WC Susp Pending
Workers' comp insurance reinstated
May 10, 2024Workers Comp Cancellation Date: 2023-09-25 cleared
Workers' comp coverage obtained
May 10, 2024Workers Comp Suspend Date: 2023-09-25 cleared
Workers Comp Policy Number: 9059122 9359320
Workers Comp Effective Date: 2013-06-01 2024-05-08
Workers Comp Expiration Date: 2024-06-01 2025-05-08
Workers Comp Coverage Type: Exempt Workers' Compensation Insurance
License reinstated
Jan 6, 2024Primary Status: Work Comp Susp CLEAR
Changed to workers' comp exempt
Jan 6, 2024Suspended — Workers' Comp
Nov 10, 2023Primary Status: CLEAR Work Comp Susp
Workers' comp coverage changed
Nov 10, 2023Workers' comp suspension pending
Sep 26, 2023Secondary Status: WC Susp Pending
License issued
Jun 16, 1995