Field Name · Applicant
Italic names are derived; accent values differ from the applicant’s prior license.
| Applicant Type | B - Amateur Club |
| Entity Type | L - Licensee or Assignee |
| Entity Name | Optim Health Screven Hospital Radio Club |
| Attention | Scott A Eisenhart |
| First Name / Middle Init / Last Name / Name Suffix | |
| Street Address | 2630 Courthouse Rd |
| Po Box | |
| Locality | Guyton |
| County | Effingham County |
| State | GA - Georgia |
| Postal Code | 31312 |
| Zip Location | 32°18'27.4"N 81°24'13.8"W |
| Maidenhead | EM92hh |
| FRN | 0028056893 |
| Geo Region | 4 / GA |
| Licensee ID/SGIN | L02231358 / 000 |
| Callsign | KN4RDA |
| Last Action Date | 2018-12-12 |
| Radio Service | HA - Amateur |
| App Purpose | NE - New |
| App Source | B - Batch |
| App Status | G - Granted |
| Entered Timestamp | 2018-12-12 |
| Fee Control Num | |
| Orig Purpose | NE - New |
| Receipt Date | Wed 2018-12-12 |
| Payment Date | |
| Is From Vec | · Y |
| Is Trustee | |
| Operator Group | D - 2x3 |
| Licensee Class | trustee: E - Amateur Extra |
| New Seq Callsign | |
| Trustee Callsign | KG4QIQ |
| Trustee Name | Eisenhart, Scott A |
| ULS Group / ULS Region | D / 4 |
| Prev Callsign / Prev Class | |
| Vanity Relationship | |
| Vanity Type | |
| Fee Exempt / Waiver | N / N |