The holder whose full name is Bartkowiak, Amy J.,come from FORT WAYNE IN,hold the Temporary PTA Permit license(NO.99003127A) which status is Superceded.
Name | Bartkowiak, Amy J. |
---|---|
License Number | 99003127A |
License Type | Temporary PTA Permit |
License Status | Superceded |
City | FORT WAYNE |
State | IN |