The holder whose full name is Manuilow, Gabriel Stephen,come from Indianapolis IN,hold the Temporary PTA Permit license(NO.99062334A) which status is Superceded.
| Name | Manuilow, Gabriel Stephen |
|---|---|
| License Number | 99062334A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |