1983 | ASC gov

Active

Inactive

Effective Date of Credential

Tue, 07/13/1993 - 12:00

Expiration Date of Credential

Thu, 06/30/1994 - 12:00

Conforms to AQB

No

ID

69193

Certification Type

Transitional License

Address

1140 BRIARGATE COURT

City

COLUMBIA

State/Province

SC

Zip

29221

County

RICHLAND

State