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 | Petrick, Jeff D |
|---|
| Attention | |
|---|
| First Name / Middle Init / Last Name / Name Suffix | Jeff D Petrick |
|---|
| Street Address | 2334 SE Manor Ave |
|---|
| Po Box | |
|---|
| Locality | Port Saint Lucie |
|---|
| County | St. Lucie County |
|---|
| State | FL - Florida |
|---|
| Postal Code | 34952 |
|---|
| Zip Location | 27°17'46.1"N 80°17'57.5"W |
|---|
| Maidenhead | EL97uh |
|---|
| FRN | 0033145178 |
|---|
| Geo Region | 4 / FL |
|---|
| Licensee ID/SGIN | L02619878 / 000 |
|---|
| Callsign | KQ4FCQ |
|---|
| Last Action Date | 2022-12-17 |
|---|
| Radio Service | HA - Amateur |
|---|
| App Purpose | NE - New |
|---|
| App Source | B - Batch |
|---|
| App Status | G - Granted |
|---|
| Entered Timestamp | 2022-12-16 |
|---|
| Fee Control Num | PGC4005290 |
|---|
| Orig Purpose | NE - New |
|---|
| Receipt Date | Fri 2022-12-16 |
|---|
| Payment Date | 2022-12-16 |
|---|
| Is From Vec | · Y |
|---|
| Is Trustee | |
|---|
| Operator Group | D - 2x3 |
|---|
| Licensee Class | T - Technician |
|---|
| New Seq Callsign | N |
|---|
| Trustee Callsign | |
|---|
| Trustee Name | |
|---|
| ULS Group / ULS Region | D / 4 |
|---|
| Prev Callsign / Prev Class | |
|---|
| Vanity Relationship | |
|---|
| Vanity Type | |
|---|
| Fee Exempt / Waiver | N / N |
|---|