License Detail

number88228
last_nameAbrams
first_nameCarl
middle_nameMaxwell
address12762 Cliffrose Drive NE
cityAlbuquerque
stateNM
zip87122
expire_date3/31/2016
date_granted5/4/2001
work_phone505-830-5400
employerHDR
branch1CIV
StatusINACTIVE

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