Licensee Name:PENDERGRASS ANNA M
License Type:DESIGNATED REPRESENTATIVE
License Number:18643
License Status:CLEAR Definition
Expiration Date:March 01, 2015
Issue Date:March 23, 2006
Address:WAL-MART DISTRIBUTION CTR
13231 11TH AVE
City:HANFORD
State:CA
Zip:93230
County:KINGS
Actions:No
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