There are a couple of different ways of doing this but I do not think you will be getting 100% accurate results until you split your Full Name to First, Middle & LastNames. But, to start with to get a sense of how good or bad the design is look for the below query.
SELECT * FROM tblFullName FN
JOIN tblLastName LN
ON FN.FullName LIKE '%' + LN.LastName
GO
Hope this helps...............
Ione
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