The holder whose full name is Miotke, Elizabeth Anne,come from Lafayette IN,hold the Temporary PTA Permit license(NO.99003879A) which status is Superceded.
| Name | Miotke, Elizabeth Anne |
|---|---|
| License Number | 99003879A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Lafayette |
| State | IN |