The holder whose full name is Landis, Timothy James,come from Fort Wayne IN,hold the Temporary PTA Permit license(NO.99002997A) which status is Superceded.
| Name | Landis, Timothy James |
|---|---|
| License Number | 99002997A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |