The holder whose full name is BLASINGAME, TRACY DIANN,come from VALPARAISO IN,hold the SLP Support Personnel license(NO.29000278A) which status is Expired.
Name | BLASINGAME, TRACY DIANN |
---|---|
License Number | 29000278A |
License Type | SLP Support Personnel |
License Status | Expired |
City | VALPARAISO |
State | IN |