AP018313 | ASC gov

Active

Inactive

Effective Date of Credential

Mon, 04/05/1993 - 12:00

Expiration Date of Credential

Wed, 04/05/1995 - 12:00

Conforms to AQB

No

ID

42517

Certification Type

Transitional License

Address

10212 MONTARA AVENUE

City

SOUTH GATE

State/Province

CA

Zip

90280-0280

County

LOS ANGELES

State