The holder whose full name is Ortegon, Marta Elena,come from Greenwood IN,hold the Temporary PA Permit license(NO.99014729A) which status is Superceded.
| Name | Ortegon, Marta Elena |
|---|---|
| License Number | 99014729A |
| License Type | Temporary PA Permit |
| License Status | Superceded |
| City | Greenwood |
| State | IN |