The holder whose full name is Takami, Ann Christine,come from Sellersburg IN,hold the Temporary OTA Permit license(NO.99012784A) which status is Superceded.
| Name | Takami, Ann Christine |
|---|---|
| License Number | 99012784A |
| License Type | Temporary OTA Permit |
| License Status | Superceded |
| City | Sellersburg |
| State | IN |