License Detail

number111252
last_nameAbu-Muhaimid
first_nameMohammad
middle_nameI.
prefixMr.
address12527 J R Drive
cityManvel
stateTX
zip77578
expire_date3/31/2016
date_granted5/29/2012
work_phone7134077781
employerHOK
branch1ELE
StatusACT

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