The holder whose full name is Fickert, Leslie Ann,come from Berne IN,hold the Temporary PTA Permit license(NO.99012667A) which status is Superceded.
| Name | Fickert, Leslie Ann |
|---|---|
| License Number | 99012667A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Berne |
| State | IN |