| Board Code License Type | 903 |
|---|---|
| Licensee Name | SHAFFER MARK ALLEN |
| Class Specialty | Eng Intern |
| Rank | EI |
| Address | 5405 SAND LAKE RD |
| City | MELBOURNE |
| State | FL |
| Zip | 329340000 |
| County Code | 15 |
| License Number | 1100000000 |
| License Status | Current |
| License Secondary Status | Active |
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| Engineer in Charge License Number | |
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