CreateAccountRequest

Name	Type	Additional information
FirstName	string	Required String length: inclusive between 0 and 50
LastName	string	Required String length: inclusive between 0 and 50
LicenseNumber	string	Required String length: inclusive between 0 and 20
DEANumber	string	String length: inclusive between 0 and 9
Email	string	Required String length: inclusive between 0 and 256
Phone	string	Required
DateRequested	date	None.
Address1	string	Required
Address2	string	None.
City	string	Required
State	string	Required
ZipCode	string	Required
PracticeName	string	Required
CustClass	string	Required