The holder whose full name is Payne, Bethany D,come from Fairmount IN,hold the Temporary OTA Permit license(NO.99021048A) which status is Superceded.
| Name | Payne, Bethany D |
|---|---|
| License Number | 99021048A |
| License Type | Temporary OTA Permit |
| License Status | Superceded |
| City | Fairmount |
| State | IN |