number | 105349 |
---|---|
last_name | Abrams |
first_name | Ted |
middle_name | Alan |
address1 | 4905 Draycroft Place |
city | Fuquay Varina |
state | NC |
zip | 27526 |
expire_date | 12/31/2015 |
date_granted | 1/28/2010 |
work_phone | 2066618429 |
employer | Self Employed |
branch1 | CHE |
branch2 | ELE |
Status | ACT |