Valencia, CA
Workers' comp renewed
Nov 19, 2025Workers' comp suspension pending
Nov 4, 2025Secondary Status: WC Susp Pending
License renewed
Oct 4, 2025City: GLENDALE VALENCIA
Mailing Address: 3828 SKY VIEW LANE 29653 CAMINO OSO
ZIP Code: 91214 91354
Expiration Date: 2025-09-30 2027-09-30
Workers' comp coverage obtained
Dec 20, 2024Workers Comp Policy Number: 72WECBL4DFZ
Workers Comp Effective Date: 2019-05-06 2024-10-28
Workers Comp Expiration Date: 2025-10-28
Workers Comp Insurance Company: HARTFORD CASUALTY INSURANCE COMPANY
Workers Comp Coverage Type: Exempt Workers' Compensation Insurance
License issued
Apr 23, 2004