Physician Assistant Certified Medical

Background Screening Report - Single Item

**** * ***** **** *** SUITE 127.

TULSA, OK 74134-5801

Telephone: 877-***-****

Fax: 918-***-****

From Case Number: 25772097

Candidate: Brown, Jameze S

CANDIDATE INFORMATION

Prepared For: Swift Recruiting

State of Maryland

Candidate's Address:

XXX-XX-5171

4714 Keppler Place

Temple Hills, MD 20749

UNITED STATES

DOB: 03/15/1987

SSN:

SUMMARY OF FULL INVESTIGATION

Request Completed Element Type Description Status

06/29/2022 06/29/2022 PREVIOUS RECORD OF DRIVER IQ PRE (SUMMARY) BROWN, JAMEZE S Complete EMPLOYMENT

06/29/2022 06/29/2022 MOTOR VEHICLE RECORD * STATE OF MARYLAND Complete 06/29/2022 06/29/2022 MOTOR VEHICLE RECORD COMMERCIAL DRIVERS LICENSE INFO. Complete

.

Reference 1:

Recruiter: Chardean Gillispie

Division: Driver Recruiter Swift EX

RequestID: 4433961

Candidate_ID: 83808094

Ordering_User: Chardean Gillispie

Email : ***********@*****.***

Phone : 202-***-****

Case Comments:

* Detail is only included for items underlined in the summary. See a Full Case Report or alternate "single Item" documents for other detail. Status Definitions

Adverse The report component is complete and includes discrepant or negative information. Clear Clear, no review required.

Complete Complete and ready for review.

Error The report component could not be completed due to incorrect input of information. Needs Review The report is complete, however, the component contains information that should be reviewed. NotPursued Lead intentionally closed before research completed. Pending Lead still being researched.

See Detail Results are neither clear nor adverse for this component. Refer to "Investigative Detail" pages for more information.

*** END OF REPORT ***

Case No.: 25772097 Page 1

Printed: 06/29/2022 08:10:49 Brown, Jameze S

DISPP-8B

WWW.DRIVERIQ.COM

CONFIDENTIAL

BROWN, JAMEZE

Case No. 25772097

LICENSE MD10272333810

NAME Brown, Jameze

STATE MD

CLASS

A CLASS A COMMERCIAL ANY VEH > 26K WITH TRAILER > 10K ENDORSEMENTS

RESTRICTIONS: NO MANUAL TRANSMISSION EQUIPPED CMV NOTES: LIC STATE MD

TYPE DESCRIPTION NEW

ORIGINAL ISSUE 1/15/2003

CLASS A CLASS A COMMERCIAL LEARNERS PERMIT

ENDORSEMENTS

RESTRICTIONS:

NOTES: LIC STATE MD

TYPE DESCRIPTION NEW

ORIGINAL ISSUE 1/15/2003

CLASS

C CLASS C NON COMMERCIAL ANY NON COMM VEH < 26K

ENDORSEMENTS

RESTRICTIONS:

NOTES: LIC STATE MD

MOTOR VEHICLE RECORD

JURISDICTION

MD

SUMMARY

Complete As of 06/29/2022

PROVIDED BY CLIENT

INFORMATION RETURNED FROM STATE

NAME / ADDRESS PHYSICAL IDENTITY

BROWN, JAMEZE, SHALOM

4714 KEPPLER PL,

TEMPLE HILLS MD 207482150

HEIGHT

5'9

WEIGHT

215 Lbs

SEX

M

EYE

HR

DOB

03/15/1987

SSN

XXX XX XXXX

LICENSE MD10272333810

TYPE DETAILS STATUS ISSUED EXPIRES

COMMERCIAL VALID 06/13/2022 03/15/2030

PERMIT 02/25/2022 08/24/2022

PERSONAL VALID 06/13/2022 03/15/2030

Printed on: 06/29/2022 08:10:50 Brown, Jameze

DISPP 8B Case No.: 25772097

WWW.DRIVERIQ.COM

CONFIDENTIAL

TYPE DETAILS STATUS ISSUED EXPIRES

TYPE DESCRIPTION NEW

STATUS CERTIFIED

STATE DEFINED

STATUS

NON EXCEPTED INTERSTATE

RECEIVED BY DMV

ISSUED 02/22/2022

EXPIRES 02/22/2024

SELF CERTIFICATION:

NAME BERNARD ANDRE

LICENSE C05840

STATE MD

STATE DEFINED

DESCRIPTION

PA

REGISTRATION # 150*******

SPECIALTY PHYSICIAN ASSISTANT

PHONE 301-***-****

DOCKET 0000000XJ0W8B

ADDITIONAL

MESSAGES

MEDICAL

EXAMINER

REGISTERED WITH THE NATIONAL REGISTRY OF CERTIFIED MEDICAL EXAMINERS HTTPS://WWW.FMCSA.DOT.GOV/NATIONAL REGISTRY CERTIFIED MEDICAL EXAMINERS SEARCH VIOLATIONS

VIOLATION

DATE

DISPOSITION

DATE

NOTES STATE ACD

CODE

STATE

CODE

PTS

11/05/2021 12/17/2021 DRIVE AT A SPEED NOT REASONABLE AND PRUDENT MV

MD S94 2900 1

NOTES

TOTAL STATE POINTS : 1

CDL Med Status: Medically Certified Meets Standard PREVIOUS CUSTOMER ID: B650366765197

LICENSE DOCUMENT: REALID

LICENSE DOCUMENT: NRID

6/13/2022 TPR/ELDT CERTIFICATE

2/25/2022 CUSTOMER ID CHANGE

2/23/2022 MEDICAL EXAMINER CERTIFICATE

Printed on: 06/29/2022 08:10:50 Brown, Jameze

DISPP 8B Case No.: 25772097

WWW.DRIVERIQ.COM

CONFIDENTIAL

END OF REPORT

Printed on: 06/29/2022 08:10:50 Brown, Jameze

DISPP 8B Case No.: 25772097

WWW.DRIVERIQ.COM

CONFIDENTIAL

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