| Licensee Name: | GROUT JACQUELYN H. |
| License Type: | GEOLOGIST |
| License Number: | 6355 |
| License Status: | CLEAR Definition |
| Expiration Date: | January 31, 2015 |
| Issue Date: | July 28, 1995 |
| Address: | 789 GREYSTONE PLACE |
| City: | O'FALLON |
| State: | IL |
| Zip: | 62269 |
| County: | OUT OF STATE |
| Actions: | No |