San Bernardino, CA
License reinstated
Aug 19, 2025Primary Status: Work Comp Susp CLEAR
Workers' comp coverage changed
Aug 19, 2025Suspended — Workers' Comp
Aug 1, 2025Primary Status: CLEAR Work Comp Susp
Workers' comp coverage changed
Aug 1, 2025Workers' comp suspension pending
Jun 17, 2025Secondary Status: WC Susp Pending
License renewed
Jun 27, 2024Mailing Address: 265 EAST MILL STREETSUITE A 2276 MEDICAL CENTER DR
ZIP Code: 92408 92411
Expiration Date: 2024-07-31 2026-07-31
Workers' comp renewed
Jun 19, 2024Workers' comp suspension pending
Jun 18, 2024Secondary Status: WC Susp Pending
License issued
Jul 24, 2008