The holder whose full name is Lively, Angela Marie,come from Greenwood IN,hold the Temporary PA Permit license(NO.99027222A) which status is Superceded.
| Name | Lively, Angela Marie |
|---|---|
| License Number | 99027222A |
| License Type | Temporary PA Permit |
| License Status | Superceded |
| City | Greenwood |
| State | IN |