The holder whose full name is Lorenz, Courtney Beth,come from Peru IN,hold the Temporary PTA Permit license(NO.99057195A) which status is Superceded.
| Name | Lorenz, Courtney Beth |
|---|---|
| License Number | 99057195A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Peru |
| State | IN |