The holder whose full name is Buzea, Amanda R.,come from Valparaiso IN,hold the Temporary PTA Permit license(NO.99042476A) which status is Superceded.
| Name | Buzea, Amanda R. |
|---|---|
| License Number | 99042476A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Valparaiso |
| State | IN |