License Details
Report Date: Thursday, April 25, 2024
License Information
- License Number:
- 510716
- Primary Owner:
- SHAFER INTEGRATED HEALTH TECHNOLOGIES, LLC
- Office of Application:
- 02 - MONROVIA
Business Name
SHAFER HEALTH MANAGEMENT
Business Address
710 NORUMBEGA DR , MONROVIA, CA, 91016
- County:
- LOS ANGELES
- Census Tract:
- 4303.01
Licensee Information
- Licensee:
- SHAFER INTEGRATED HEALTH TECHNOLOGIES, LLC
Company Information
OFFICER: SHAFER, GINA NICOLE (SECRETARY/ASST SEC)
OFFICER: SHAFER, GINA NICOLE (MEMBER)
OFFICER: SHAFER, BARRY ISAAC (MEMBER)
MEMBER: SHAFER, BARRY ISAAC
MEMBER: SHAFER, GINA NICOLE
License Types
Allow up to six weeks for expiration date updates after fee waiver or renewal fee submittal.
16 - WINE BROKER
- License Type Status:
- AUTO REVOKED
- Status Date:
- 01-NOV-2019
- Term:
- 12 Month(s)
- Original Issue Date:
- 26-JUL-2011
- Expiration Date:
- 30-JUN-2019
- Master:
- Y
- Duplicate:
- 0
- Fee Code:
- P20
- Transfers:
Operating Restrictions:
*Operating Restrictions exist. For more information, please see our Guidelines for Access to Records.
Disciplinary Action:
No Active Disciplinary Action found
Disciplinary History:
No Disciplinary History found.
Holds:
No Active Holds found
Escrows:
No Escrow found
For definition of codes, view our glossary
TRACE
Law Enforcement Reporting
LEAD
Off-Sale Licensee Training
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