Licensee Name:PROVOST NORMAN JAMES
License Type:PI/PPO Combination License
License Number:3379
License Status:CANCELLED Definition
Expiration Date:February 29, 2000
Issue Date:June 18, 1957
City:OAKLAND
County:ALAMEDA
Actions:No
NumberNameTypeStatusActions
115CENTRAL CALIFORNIA COUNTY PATROLFictitious Name PermitCANCELLEDNo

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