The holder whose full name is Foreman, Jessica R.,come from Muncie IN,hold the Temporary PTA Permit license(NO.99037738A) which status is Superceded.
| Name | Foreman, Jessica R. |
|---|---|
| License Number | 99037738A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Muncie |
| State | IN |