The holder whose full name is Teixeira, Christine Anne,come from Fort Wayne IN,hold the Temporary PTA Permit license(NO.99002519A) which status is Expired.
| Name | Teixeira, Christine Anne |
|---|---|
| License Number | 99002519A |
| License Type | Temporary PTA Permit |
| License Status | Expired |
| City | Fort Wayne |
| State | IN |