Placentia, CA
License reinstated
May 27, 2026Primary Status: Work Comp Susp CLEAR
Workers' comp coverage changed
May 27, 2026License renewed
May 21, 2026Expiration Date: 2026-05-31 2028-05-31
Suspended — Workers' Comp
Apr 17, 2026Primary Status: CLEAR Work Comp Susp
Workers' comp coverage changed
Apr 17, 2026Workers' comp suspension pending
Mar 3, 2026Secondary Status: WC Susp Pending
License data updated
Mar 3, 2026License data updated
May 9, 2025License renewed
May 2, 2024City: FULLERTON PLACENTIA
Mailing Address: 2866 LONGSPUR DR 1313 BRIAN ST
ZIP Code: 92835 92870
Expiration Date: 2024-05-31 2026-05-31
Renewal received
Apr 30, 2024Workers' comp coverage obtained
Feb 28, 2024Workers Comp Policy Number: 7038737173
Workers Comp Effective Date: 2022-06-09 2024-02-26
Workers Comp Expiration Date: 2025-02-26
Workers Comp Insurance Company: NATIONAL FIRE INSURANCE COMPANY OF HARTFORD
Workers Comp Coverage Type: Exempt Workers' Compensation Insurance
License issued
May 5, 2004