Contact
Name
Charles R. Puckett

Address
P.O.Box 43
Tobaccoville, NC 27050

Phone
(336) 986-5525

Qualifier
Qualifier #
Q.17100

Account Type
Qualifier

First Issued Date

Expiration Date

Status
Active

Active Classifications
Residential

Qualifier for
Licensee License # Status
Charles R. Puckett, T/A L.53117 Active