The holder whose full name is Lewis, Kali Jean,come from Portage IN,hold the Temporary PTA Permit license(NO.99037927A) which status is Superceded.
| Name | Lewis, Kali Jean |
|---|---|
| License Number | 99037927A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Portage |
| State | IN |