License Detail

number79418
last_nameABDOLSALAMI
first_nameFARZAN
address1201 ELLWOOD STREET #112
citySAN ANTONIO
stateTX
zip78209
expire_date12/31/2015
date_granted2/18/1994
work_phone2109997562
employerTRINITY UNIVERSITY
branch1ELE
StatusINACTIVE

Comments