The holder whose full name is Achufusi, Ted George Ody,come from Portage IN,hold the Temporary DO Permit license(NO.99052871A) which status is Superceded.
Name | Achufusi, Ted George Ody |
---|---|
License Number | 99052871A |
License Type | Temporary DO Permit |
License Status | Superceded |
City | Portage |
State | IN |