| Operator Class | Technician |
| Group Code | D Group |
| Region Code | 4 |
| Previous Call Sign | N |
| Previous Operator Class | — |
| License ID | 0008813782 |
| Street Address | 🔒 [PRIVATE] |
| City / State / ZIP | 🔒 [PRIVATE] |
| Applicant Type | Individual |
| License Status | Active |
| Grant Date | 09/24/2019 |
| Expiration Date | 09/24/2029 |
| Effective Date | 09/24/2019 |