San Diego, CA
License data updated
Jan 30, 2026License renewed
Jul 11, 2025Mailing Address: 5694 MISSION CENTER RDSTE 602 - 960 7972 CONVOY CT
ZIP Code: 92108 92111
Expiration Date: 2025-07-31 2027-07-31
License data updated
Jul 10, 2025Workers' comp suspension pending
Jul 8, 2025Secondary Status: WC Susp Pending
License data updated
May 28, 2025Workers' comp renewed
Jul 2, 2024License issued
Oct 29, 2014