License Detail

number112637
last_nameAbdelsalam
first_nameAhmed
middle_nameH.
prefixMr.
address12313 Firethorn RD
cityBRIDGEVILLE
statePA
zip15017
expire_date9/30/2016
date_granted12/12/2012
work_phone9083972072
employerEQT
branch1CIV
branch2MEC
StatusACT

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