San Diego, CA
License renewed
Oct 31, 2025Mailing Address: 5965 VILLAGE WAY SUITE 105 5965 VILLAGE WAY SUITE 105BOX 642
Expiration Date: 2025-10-31 2027-10-31
Workers Comp Effective Date: 2023-11-02 2025-10-27
Renewal received
Sep 24, 2025License data updated
Jul 4, 2025Classification removed
Nov 9, 2023License renewed
Nov 9, 2023Expiration Date: 2023-10-31 2025-10-31
Workers Comp Effective Date: 2021-09-07 2023-11-02
License issued
Nov 19, 1997