Apple Valley, CA
Suspended — Workers' Comp
Aug 1, 2025Primary Status: CLEAR Work Comp Susp
Workers' comp coverage changed
Aug 1, 2025License renewed
Jul 16, 2025City: VICTORVILLE APPLE VALLEY
Mailing Address: 12652 WATER LILY LN 12827 SKYLINE RANCH PL
ZIP Code: 92392 92308
Expiration Date: 2025-08-31 2027-08-31
Workers' comp suspension pending
Jun 17, 2025Secondary Status: WC Susp Pending
Workers' comp renewed
Jun 18, 2024License issued
Aug 2, 2011