The holder whose full name is Medrano, Anita Marie,come from Hobart IN,hold the Temporary PTA Permit license(NO.99028659A) which status is Superceded.
| Name | Medrano, Anita Marie |
|---|---|
| License Number | 99028659A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Hobart |
| State | IN |