Contact
Name
Lavarien DeWayne Grundy

Address
PO Box 481765
Charlotte, NC 28269

Phone
4233134611

Qualifier
Qualifier #
Q.28630

Account Type
Qualifier

Effective Date

Expiration Date

Status
Active

Active Classifications
Residential

Qualifier for
Licensee License # Status
Lavarien DeWayne Grundy, Sr., T/A L.73420 Archived