The holder whose full name is Washburn, Leslie E.,come from Paris IL,hold the Temporary PTA Permit license(NO.99045252A) which status is Superceded.
| Name | Washburn, Leslie E. |
|---|---|
| License Number | 99045252A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Paris |
| State | IL |