The holder whose full name is Blake, Janelle R,come from Washington IN,hold the Temporary PTA Permit license(NO.99016762A) which status is Superceded.
| Name | Blake, Janelle R |
|---|---|
| License Number | 99016762A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Washington |
| State | IN |