License Detail

number96428
last_nameAbesingha
first_nameChandra
middle_nameP
prefixMs.
address14028 Lambert Trail
cityBirmingham
stateAL
zip35242-7487
expire_date9/30/2016
date_granted12/19/2005
work_phone205 595 0401
employerCEAssociates
branch1CIV
StatusINACTIVE

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