The holder whose full name is Clark, Jason Scott,come from Indianapolis IN,hold the Temporary PTA Permit license(NO.99033052A) which status is Superceded.
| Name | Clark, Jason Scott |
|---|---|
| License Number | 99033052A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |