Licensee Name:WENNER SCOTT FRANCIS
License Type:DESIGNATED REPRESENTATIVE
License Number:22038
License Status:CLEAR Definition
Expiration Date:January 01, 2016
Issue Date:January 30, 2013
Address:12832 W. SEGOVIA DRIVE
City:LITCHFIELD PARK
State:AZ
Zip:85340
County:OUT OF STATE
Actions:No
NumberNameTypeStatus
6233MEDLINE INDUSTRIES INCWHOLESALERS (OUT OF STATE) DISTRIBUTOR CLEAR

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