The holder whose full name is Leazier, Thomas,come from Churubusco IN,hold the Temporary PTA Permit license(NO.99043004A) which status is Superceded.
| Name | Leazier, Thomas |
|---|---|
| License Number | 99043004A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Churubusco |
| State | IN |