License Detail

number64567
last_nameAbdullah
first_nameMohammed
prefixMr.
address1105 Juliet Rd.
cityMORRISVILLE
statePA
zip19067
expire_date3/31/2016
date_granted6/27/1988
work_phone917-522-2804
employerSTV Incorporated
branch1ELE
StatusINACTIVE

Comments