The holder whose full name is Ellis, Kathleen Annette,come from Greenwood IN,hold the Temporary PTA Permit license(NO.99001506A) which status is Superceded.
| Name | Ellis, Kathleen Annette |
|---|---|
| License Number | 99001506A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Greenwood |
| State | IN |