47000048605 | ASC gov

Active

Active

Effective Date of Credential

Tue, 12/17/2019 - 12:00

Expiration Date of Credential

Thu, 12/16/2021 - 12:00

Conforms to AQB

No

ID

246306

Certification Type

Licensed

Address

243 LAKESIDE TRAIL

City

RIDGE

State/Province

NY

Zip

11961

County

SUFFOLK

State