The holder whose full name is Diss, Craig Edward,come from Fort Wayne IN,hold the Temporary PTA Permit license(NO.99047172A) which status is Superceded.
| Name | Diss, Craig Edward |
|---|---|
| License Number | 99047172A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |