San Clemente, CA
License renewed
Jan 27, 2026City: LAKE FOREST SAN CLEMENTE
Mailing Address: 24962 AVENIDA VERANEO 1011 BUENA VISTA
ZIP Code: 92630 92672
Expiration Date: 2025-07-31 2027-07-31
Workers Comp Policy Number: WSA507942200 cleared
Workers Comp Effective Date: 2024-08-14 2026-01-26
Workers Comp Expiration Date: 2025-08-14 cleared
Workers Comp Insurance Company: INSURANCE COMPANY OF THE WEST cleared
Workers' comp renewed
May 28, 2025Workers' comp suspension pending
Aug 20, 2024Secondary Status: WC Susp Pending
License issued
Jul 3, 2001