The holder whose full name is Stephenson, Carolyn Nicole,come from Fort Wayne IN,hold the Temporary OTA Permit license(NO.99063260A) which status is Superceded.
| Name | Stephenson, Carolyn Nicole |
|---|---|
| License Number | 99063260A |
| License Type | Temporary OTA Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |