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Name: Annette Fortman Vise
Address_1: 124 Charleston Ln
Address_2:
City: Madison
State: MS
Zip: 39110
County: MADISON
Firm Name:
Phone: 6013161560
License Number: 5141
Issue Date: 10/16/2015
Expiration Date: 11/30/2025
Status: ACTIVE
Disciplined (*): No
*Only actions taken in the past three (3) years are displayed. To check for earlier disciplinary actions, please submit a request to msboa@msboa.ms.gov, including the name of the individual/business for whom/which you are seeking information.
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