A4793 | ASC gov

Active

Inactive

Effective Date of Credential

Wed, 06/30/2004 - 12:00

Expiration Date of Credential

Thu, 06/30/2005 - 12:00

Conforms to AQB

No

ID

118973

Certification Type

Licensed

Address

116 MAIN STREET NW

City

LENOIR

State/Province

NC

Zip

28645

County

ALEXANDER

State