To provide license information
| Position | Element | Name | Type | Min/Max | Repeat | |
|---|---|---|---|---|---|---|
| 1 | 156 | State or Province Code | Mandatory | ID | 2/2 | AtMax 1 |
| 2 | 235 | Product/Service ID Qualifier | Mandatory | ID | 2/2 | AtMax 1 |
| 3 | 234 | Product/Service ID | Mandatory | Alphanumeric | 1/48 | AtMax 1 |
| 4 | 1073 | Yes/No Condition or Response Code | Mandatory | ID | 1/1 | AtMax 1 |
| 5 | 546 | Status Code | Mandatory | ID | 2/2 | AtMax 1 |
| 6 | 127 | Reference Identification | Opt | Alphanumeric | 1/50 | AtMax 1 |
| 7 | 156 | State or Province Code | Rel | ID | 2/2 | AtMax 1 |
| 8 | 127 | Reference Identification | Opt | Alphanumeric | 1/50 | AtMax 1 |