The holder whose full name is Haertling, Tracy Ann,come from Granger IN,hold the Temporary DO Permit license(NO.99052761A) which status is Superceded.
Name | Haertling, Tracy Ann |
---|---|
License Number | 99052761A |
License Type | Temporary DO Permit |
License Status | Superceded |
City | Granger |
State | IN |