07/21/09 DRIVEN LICENSOD/ID NUTIDER DATE Delo DL ISSUED GOL. ISSUL Datt 12/16/94 emoftsNm 0617 PRIOR MOD DRIVER LEGEN« MMUR CCCCCC US DATOU CURREUT SANN 08222001X 101205X62 DEPLACEMENT UCENSE 011895P05 CRILSIT OFFENSE EFFECT1VE DATE CONVICTION DATE RES STATE- ME DATNT E INFON RADON FRO