Licensee Name:PELTON AGNES
License Type:DESIGNATED REPRESENTATIVE
License Number:12940
License Status:CANCELLED Definition
Expiration Date:November 01, 2000
Issue Date:November 01, 1995
Address:8513 ROCHESTER AVENUE
City:RANCHO CUCAMONGA
State:CA
Zip:91730
County:SAN BERNARDINO
Actions:No
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