State Board Of Licensure for Professional Engineers and Professional Surveyors Roster
{{firstname}} {{middlename}} {{lastname}}
Employer: {{company}}
Address:
{{address1}}
{{city}}, {{state}} {{zip}}
{{#if pehours}}
PE PDH Carry Over Hours: {{pehours}}
{{/if}}
{{#if lshours}}
PS PDH Carry Over Hours: {{lshours}}
{{/if}}
{{#if pelicense}}
Professional Engineer License Information
PE License Number: {{pelicense}}
PE License Issue Date: {{issuedate}}
PE License Expiration Date: {{peexp}}
PE Disciplinary Action: {{~#if (eq pecomplaint "1")}}
Yes
{{~^~}}
No
{{~/if~}}
Professional Surveyor License Information
PS License Number: {{lslicense}}
PS License Issue Date: {{lsissuedate}}
PS License Expiration Date: {{psexp}}
PS Disciplinary Action: {{~#if (eq lscomplaint "1")}}
Yes
{{~^~}}
No
{{~/if~}}
Surveyor Intern License Information
SI License Number: {{lsitlicense}}
Engineer Intern License Information
EI License Number: {{eitlicense}}
