The holder whose full name is Coy, Terry Lee,come from Greendale IN,hold the Temp Marr & Fam Ther Permit license(NO.99060054A) which status is Superceded.
| Name | Coy, Terry Lee |
|---|---|
| License Number | 99060054A |
| License Type | Temp Marr & Fam Ther Permit |
| License Status | Superceded |
| City | Greendale |
| State | IN |