Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | I - Individual |
|---|
| Entity Type | L - Licensee or Assignee |
|---|
| Entity Name | GOLDBERG, MARK L |
|---|
| Attention | |
|---|
| First Name / Middle Init / Last Name / Name Suffix | MARK L GOLDBERG |
|---|
| Street Address | 12515 N 70TH DR |
|---|
| Po Box | |
|---|
| Locality | PEORIA |
|---|
| County | Maricopa County |
|---|
| State | AZ - Arizona |
|---|
| Postal Code | 853819555 |
|---|
| Zip Location | 33°36'32.9"N 112°13'49.0"W |
|---|
| Maidenhead | DM33vo |
|---|
| FRN | 0017660341 |
|---|
| Geo Region | 7 / AZ |
|---|
| Licensee ID/SGIN | L01389708 / 000 |
|---|
| Callsign | WA2IOI |
|---|
| Last Action Date | 2011-05-24 |
|---|
| Radio Service | HA - Amateur |
|---|
| App Purpose | MD - Modification |
|---|
| App Source | I - Online |
|---|
| App Status | G - Granted |
|---|
| Entered Timestamp | 2011-05-04 |
|---|
| Fee Control Num | PGC1942793 |
|---|
| Orig Purpose | MD - Modification |
|---|
| Receipt Date | Wed 2011-05-04 |
|---|
| Payment Date | 2011-05-05 |
|---|
| Is From Vec | |
|---|
| Is Trustee | |
|---|
| Operator Group | C - 1x3 |
|---|
| Licensee Class | E - Amateur Extra |
|---|
| New Seq Callsign | N |
|---|
| Trustee Callsign | |
|---|
| Trustee Name | |
|---|
| ULS Group / ULS Region | C / 7 |
|---|
| Prev Callsign / Prev Class | |
|---|
| Vanity Relationship | |
|---|
| Vanity Type | E - By List |
|---|
| Fee Exempt / Waiver | N / N |
|---|