License Detail

number61788
last_nameABEYTA
first_nameTIMOTHY
middle_nameBERTRAM
address1P. O. BOX 81081
cityCORPUS CHRISTI
stateTX
zip78468
expire_date3/31/2016
date_granted4/16/1987
work_phone361-537-4019
employerU S NAVAL AIR STATION
branch1ELE
StatusINACTIVE

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