License Detail

number99548
last_nameAcevedo
first_nameLissette
prefixMs.
address155400 Shady Springs Trail
cityFt. Worth
stateTX
zip76179
expire_date3/31/2016
date_granted6/15/2007
work_phone817-392-2722
employerCity of Fort Worth
branch1CIV
StatusACT

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