The holder whose full name is Beas, Jacquelyn Nicole,come from Lafayette IN,hold the Temporary PTA Permit license(NO.99040802A) which status is Expired Non-Renewable.
| Name | Beas, Jacquelyn Nicole |
|---|---|
| License Number | 99040802A |
| License Type | Temporary PTA Permit |
| License Status | Expired Non-Renewable |
| City | Lafayette |
| State | IN |