The holder whose full name is DeJong, Lesa Anne,come from Saint John IN,hold the Temporary PTA Permit license(NO.99051777A) which status is Superceded.
| Name | DeJong, Lesa Anne |
|---|---|
| License Number | 99051777A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Saint John |
| State | IN |