409298 | ASC gov

Active

Inactive

Effective Date of Credential

Tue, 10/21/1997 - 12:00

Expiration Date of Credential

Wed, 10/21/1998 - 12:00

Conforms to AQB

No

ID

226897

Certification Type

Licensed

Address

1916 BETHEL RD.

City

COLUMBUS

State/Province

OH

Zip

43220-0000

County

FRANKLIN

State