The holder whose full name is EBERT, DAISY ANN,come from La Porte IN,hold the Temporary OTA Permit license(NO.99000584A) which status is Superceded.
| Name | EBERT, DAISY ANN |
|---|---|
| License Number | 99000584A |
| License Type | Temporary OTA Permit |
| License Status | Superceded |
| City | La Porte |
| State | IN |