The holder whose full name is Fowler, Mitch J.,come from Antwerp OH,hold the Temporary PTA Permit license(NO.99042164A) which status is Superceded.
| Name | Fowler, Mitch J. |
|---|---|
| License Number | 99042164A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Antwerp |
| State | OH |