T 08/28/2019 17:19:51 DR. 17:19 08/28/2019 21155 17:19 08/28/2019 00029 NY10100T2 *0451562767 TXT C-420-781-81-299-0 STORY AUSTIN COWLES ORGAN DONCR CHARLOTTE NC 28202 DELRAY BEACH FL 33444 TYPE LIC: E OPERATOR DOB: HT: 602 RACE: W SEX: V CURRENT LICENSE ISSUED: 09/14/2017 EXPiiiiii::!1.1