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 | Provenzano, Lisa A |
|---|
| Attention | |
|---|
| First Name / Middle Init / Last Name / Name Suffix | Lisa A Provenzano |
|---|
| Street Address | 4627 Woodbine Rd. #8 |
|---|
| Po Box | |
|---|
| Locality | Pace |
|---|
| County | Santa Rosa County |
|---|
| State | FL - Florida |
|---|
| Postal Code | 32571 |
|---|
| Zip Location | 30°40'23.8"N 87°11'45.1"W |
|---|
| Maidenhead | EM60jq |
|---|
| FRN | 0008557167 |
|---|
| Geo Region | 4 / FL |
|---|
| Licensee ID/SGIN | L00649389 / 000 |
|---|
| Callsign | KD5VNA |
|---|
| Last Action Date | 2023-02-07 |
|---|
| Radio Service | HA - Amateur |
|---|
| App Purpose | RO - Renewal Only |
|---|
| App Source | I - Online |
|---|
| App Status | G - Granted |
|---|
| Entered Timestamp | 2023-02-03 |
|---|
| Fee Control Num | PGC4056361 |
|---|
| Orig Purpose | |
|---|
| Receipt Date | Fri 2023-02-03 |
|---|
| Payment Date | 2023-02-06 |
|---|
| Is From Vec | |
|---|
| Is Trustee | |
|---|
| Operator Group | D - 2x3 |
|---|
| Licensee Class | E - Amateur Extra |
|---|
| 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 |
|---|