The holder whose full name is Russell, Amy Jo Ann,come from Valparaiso IN,hold the Temporary PTA Permit license(NO.99047336A) which status is Superceded.
| Name | Russell, Amy Jo Ann |
|---|---|
| License Number | 99047336A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Valparaiso |
| State | IN |