The holder whose full name is Goodman, Mark Edward,come from Marion IN,hold the Temporary PTA Permit license(NO.99027082A) which status is Superceded.
| Name | Goodman, Mark Edward |
|---|---|
| License Number | 99027082A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Marion |
| State | IN |