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Name: Test 4 Test 4
Address_1: 123 Street
Address_2:
City: Jackson
State: NM
Zip: 12354
County: (NON-MS)
Firm Name: Test 4
Phone: 123-543-5234
License Number: 0000
Issue Date: 10/1/2017
Expiration Date: 11/30/2023
Status: INACTIVE
Disciplined (*): No
*Only actions taken in the past three (3) years are displayed. To check for earlier disciplinary actions, please submit a request to msboa@msboa.ms.gov, including the name of the individual/business for whom/which you are seeking information.
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