The holder whose full name is Dipiro, Angelita Kellie,come from Elkhart IN,hold the Temporary OTA Permit license(NO.99016930A) which status is Superceded.
| Name | Dipiro, Angelita Kellie |
|---|---|
| License Number | 99016930A |
| License Type | Temporary OTA Permit |
| License Status | Superceded |
| City | Elkhart |
| State | IN |