The holder whose full name is Smith, Ann Marie,come from Gary IN,hold the Temporary PTA Permit license(NO.99000563A) which status is Superceded.
| Name | Smith, Ann Marie |
|---|---|
| License Number | 99000563A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Gary |
| State | IN |