446-4 | ASC gov

Active

Inactive

Effective Date of Credential

Tue, 04/27/1993 - 12:00

Expiration Date of Credential

Fri, 12/14/2007 - 12:00

Conforms to AQB

No

ID

110918

Certification Type

Licensed

Address

1447 CUMMINGS AVE

City

EAU CLAIRE

State/Province

WI

Zip

54701

State