The holder whose full name is Clark, Courtney Diane,come from Muncie IN,hold the Temporary PTA Permit license(NO.99062618A) which status is Expired.
| Name | Clark, Courtney Diane |
|---|---|
| License Number | 99062618A |
| License Type | Temporary PTA Permit |
| License Status | Expired |
| City | Muncie |
| State | IN |