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 | BERGSTROM JR, PETER D |
|---|
| Attention | |
|---|
| First Name / Middle Init / Last Name / Name Suffix | PETER D BERGSTROM JR |
|---|
| Street Address | 4017 Rosemeade Drive |
|---|
| Po Box | |
|---|
| Locality | Fairfax |
|---|
| County | Fairfax County |
|---|
| State | VA - Virginia |
|---|
| Postal Code | 22033 |
|---|
| Zip Location | 38°52'30.8"N 77°23'05.0"W |
|---|
| Maidenhead | FM18hv |
|---|
| FRN | 0005389747 |
|---|
| Geo Region | 4 / VA |
|---|
| Licensee ID/SGIN | L00408491 / 000 |
|---|
| Callsign | KD4ICU |
|---|
| Last Action Date | 2011-12-22 |
|---|
| Radio Service | HA - Amateur |
|---|
| App Purpose | RO - Renewal Only |
|---|
| App Source | I - Online |
|---|
| App Status | G - Granted |
|---|
| Entered Timestamp | 2011-12-21 |
|---|
| Fee Control Num | |
|---|
| Orig Purpose | |
|---|
| Receipt Date | Wed 2011-12-21 |
|---|
| Payment Date | |
|---|
| Is From Vec | |
|---|
| Is Trustee | |
|---|
| Operator Group | D - 2x3 |
|---|
| Licensee Class | T - Technician |
|---|
| New Seq Callsign | |
|---|
| Trustee Callsign | |
|---|
| Trustee Name | |
|---|
| ULS Group / ULS Region | D / 4 |
|---|
| Prev Callsign / Prev Class | |
|---|
| Vanity Relationship | |
|---|
| Vanity Type | |
|---|
| Fee Exempt / Waiver | N / N |
|---|