La Mirada, CA
License data updated
Feb 19, 2026License data updated
Apr 19, 2025License renewed
Mar 31, 2025City: PLACENTIA LA MIRADA
County: Orange Los Angeles
Mailing Address: 218 SAN GABRIEL LN 15923 ALTA VISTA DR UNIT E
ZIP Code: 92870 96038
Expiration Date: 2025-04-30 2027-04-30
Workers Comp Effective Date: 2023-04-21 2025-03-29
License issued
Apr 26, 2003