License Details

Report Date: Friday, July 30, 2021


License Information

License Number:
11515
Primary Owner:
MOOSE LODGE APPLE VALLEY 1810
Office of Application:
07 - RIVERSIDE

Business Name

MOOSE LODGE APPLE VALLEY 1810

Business Address

21955 HWY 18 , APPLE VALLEY, CA, 92307

County:
SAN BERNARDINO
Census Tract:
0097.12

Licensee Information

Licensee:
MOOSE LODGE APPLE VALLEY 1810

Company Information

OFFICER: JACKSON, BILL (PRESIDENT)

OFFICER: DERSHEM, JOHN LAWRENCE JR (SECRETARY/ASST SEC)

OFFICER: GRIFFIN, JOHN (TREASURER)


License Types

51 - CLUB

License Type Status:
ACTIVE
Status Date:
20-AUG-2019
Term:
12 Month(s)
Original Issue Date:
06-MAY-1969
Expiration Date:
31-MAY-2022
Master:
Y
Duplicate:
0
Fee Code:
P40
Transfers:

Operating Restrictions:

No Operating Restrictions found


Disciplinary Action:

Reg. Number:
18086516

Disciplinary History:

No Disciplinary History found.


Holds:

No Active Holds found

Escrows:

No Escrow found

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