The holder whose full name is Gholson, Jill Ann,come from Gary IN,hold the Temporary PTA Permit license(NO.99021636A) which status is Superceded.
| Name | Gholson, Jill Ann |
|---|---|
| License Number | 99021636A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Gary |
| State | IN |