The holder whose full name is Emenhiser, Matthew Gerard,come from New Haven IN,hold the Temporary PTA Permit license(NO.99047388A) which status is Superceded.
| Name | Emenhiser, Matthew Gerard |
|---|---|
| License Number | 99047388A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | New Haven |
| State | IN |