The holder whose full name is Lorenc, Corrine Ann,come from Granger IN,hold the Temporary PTA Permit license(NO.99009525A) which status is Superceded.
| Name | Lorenc, Corrine Ann |
|---|---|
| License Number | 99009525A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Granger |
| State | IN |