TL1011 | ASC gov

Active

Inactive

Effective Date of Credential

Mon, 12/20/1993 - 12:00

Expiration Date of Credential

Fri, 06/30/1995 - 12:00

Conforms to AQB

No

ID

174843

Certification Type

Transitional License

Address

HC 82, BOX 59-B

City

SALEM

State/Province

AR

Zip

72576

County

FULTON

State