License Detail

number110733
last_nameAbbott
first_nameKevin
middle_nameChristopher
prefixMr.
address14216 N. Spruce Ave.
cityBroken Arrow
stateOK
zip74012
expire_date12/31/2015
date_granted2/21/2012
work_phone539-664-4800
employerUOP Russell
branch1MEC
StatusACT

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