number | 115459 |
---|---|
last_name | Abraham |
first_name | Jacob |
middle_name | K. |
prefix | Mr. |
address1 | 5013 Grace Drive |
city | Garland |
state | TX |
zip | 75043 |
expire_date | 9/30/2016 |
date_granted | 12/4/2013 |
work_phone | 972 638 6619 |
employer | MAVERICK TECHNOLOGIES |
branch1 | CSE |
Status | ACT |