The holder whose full name is Mack, Kenneth J.,come from Granger IN,hold the Temporary PTA Permit license(NO.99031025A) which status is Superceded.
| Name | Mack, Kenneth J. |
|---|---|
| License Number | 99031025A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Granger |
| State | IN |