The holder whose full name is Marquez, Anthony B.,come from East Chicago IN,hold the Temporary PTA Permit license(NO.99042764A) which status is Superceded.
| Name | Marquez, Anthony B. |
|---|---|
| License Number | 99042764A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | East Chicago |
| State | IN |