| Operator Class | Amateur Extra |
| Group Code | D Group |
| Region Code | 2 |
| Previous Call Sign | N |
| Previous Operator Class | General |
| License ID | 0009996803 |
| Street Address | 🔒 [PRIVATE] |
| City / State / ZIP | 🔒 [PRIVATE] |
| Applicant Type | Individual |
| License Status | Active |
| Grant Date | 03/16/2021 |
| Expiration Date | 03/16/2031 |
| Effective Date | 04/11/2022 |