License Detail

number44249
last_nameACKER
first_nameARNOLD
middle_namePHILIP
prefixMr.
address1111 MOHAWK COVE EAST
cityLAKE KIOWA
stateTX
zip76240
expire_date12/31/2015
date_granted1/25/1979
work_phone9406651399
employerAACON INC
branch1STR
StatusACT

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