The holder whose full name is Ballinger, Dawn Marie,come from Fort Wayne IN,hold the Temporary PTA Permit license(NO.99053569A) which status is Superceded.
| Name | Ballinger, Dawn Marie |
|---|---|
| License Number | 99053569A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |