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Sample Professional License Report


 

 

Sample Professional License Record

 

Name:

Tom Davis

 

 

Address:

7821 EVANDEL DRIVE ANCHORAGE AK 99518

 

 

Status:

ACTIVE

 

 

License State:

AK

 

 

License Number:

6760

 

 

Date License Issued:

01-01-1998

 

 

Original Issue Date:

02-27-1985

 

 

License Expiration Date:

12-31-1999

 

 

License Type:

PROFESSIONAL MECHANICAL ENGINEER

 

 

 

 

Name:

Tom Davis

 

 

Address:

P.O. BOX 4272 PALMER AK 99645

 

 

Status:

ACTIVE

 

 

License State:

AK

 

 

License Number:

20067

 

 

Date License Issued:

02-11-1998

 

 

Original Issue Date:

07-09-1990

 

 

License Expiration Date:

08-31-1999

 

 

License Type:

SPECIALTY CONTRACTOR

 

 

 

 

Name:

Tom Davis

 

 

Address:

PO BOX 2203 SEWARD AK 99664

 

 

Date of Birth:

02-12-1966

 

 

Status:

ACTIVE

 

 

License State:

AK

 

 

License Number:

18214

 

 

Date License Issued:

11-18-1998

 

 

Original Issue Date:

08-28-1997

 

 

License Expiration Date:

11-30-2000

 

 

License Type:

REGISTERED NURSEI

 

 

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