4000658 | ASC gov

Active

Inactive

Effective Date of Credential

Thu, 09/21/2017 - 12:00

Expiration Date of Credential

Sat, 08/31/2019 - 12:00

Conforms to AQB

No

ID

303790

Certification Type

Licensed

Address

5619 DUNLAP AVE

City

SHOREVIEW

State/Province

MN

Zip

55126

County

RAMSEY

State