The holder whose full name is Hiss, Nathaniel Robert,come from Fort Wayne IN,hold the Chiro Temporary Permit license(NO.99024976A) which status is Superceded.
| Name | Hiss, Nathaniel Robert |
|---|---|
| License Number | 99024976A |
| License Type | Chiro Temporary Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |