Licensee Name:VINTIMILLA JUAN IGNACIO
License Type:DESIGNATED REPRESENTATIVE
License Number:19542
License Status:CANCELLED Definition
Expiration Date:November 01, 2008
Issue Date:November 08, 2007
Address:6350 HEDGEWOOD DR
City:ALLENTOWN
State:PA
Zip:18106
County:OUT OF STATE
Actions:No
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