License Detail

number74896
last_nameAbu-Amara
first_nameHosame
middle_nameHassan Shaban
address143 Grant
cityIrvine
stateCA
zip92620
expire_date3/31/2016
date_granted4/2/1993
work_phone949-727-6002
employerBooz Allen Hamilton
branch1ELE
StatusINACTIVE

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