ESJWFS!IJTUPSZ!SFQPSU

CALIFORNIA DEPARTMENT OF MOTOR VEHICLES

***CUSTOMER RECEIPT COPY***

DRIVER LICENSE/IDENTIFICATION CARD

INFORMATION REQUEST

**/**/****

"

DATE:12-29-22*TIME:14:52*

DL/NO:Y5864415*

B/D:07-25-1993*NAME:BRAR,BHARPUR SINGH*

IDENTIFYING INFORMATION:

SEX:MALE*HAIR:BLACK*EYES:BLK*HT:6-02*WT:220*

ID CARD MLD:12-04-18* EXP:07-25-24*

LIC/ISS:12-28-22* EXP:07-25-27*CLASS:A COMMERCIAL* ENDORSEMENTS:

DOUBLES/TRIPLES*

MEDICAL EXPIRES:11-21-24*

MEDICAL CERTIFICATE INFORMATION:

ISSUE DATE: 11-21-22 EXPIRATION DATE: 11-21-24

"

STATUS CODE: C

MED EXAMINER NUMBER: CA 14313

MED REGISTRY NUMBER:

SPECIALTY: CH MED EXAMINER PHONE NUMBER:

MED EXAMINER NAME:

LAST NAME: BERMAN

33:4141762

621-***-****

FIRST NAME: DARYL

MED CERT RESTRICTIONS: NONE

SPE EFF DATE: NONE

DRIVER WAIVER TYPE: NONE

SELF CERTIFICATION INFORMATION:

SELF CERTIFICATION CODE: NI

COMMERCIAL LICENSE STATUS:

VALID*

"

LICENSE STATUS:

VALID*

DEPARTMENTAL ACTIONS:

NONE*

CONVICTIONS:

VIOL/DT CONV/DT SEC/VIOL DKT/NO DISP COURT VEH/LIC **-**-**-**-**-** 12500A VC 01435 6MXS912

UPDATED:03-18-21*

FAILURES TO APPEAR:

NONE*

ACCIDENTS:

DATE/TIME LOCATION VEH-LIC REPORT NO FR CASE NO

"

ALAMEDA COUNT 6MXS912

2:37287

22.24.31!33 :4866932:47

UPDATED:11-30-20*

END

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