The holder whose full name is Miles, LaTisha M.,come from Gary IN,hold the Temporary PTA Permit license(NO.99038023A) which status is Superceded.
| Name | Miles, LaTisha M. |
|---|---|
| License Number | 99038023A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Gary |
| State | IN |