The holder whose full name is Gordon, Mary Ann,come from Indianapolis IN,hold the Temporary PTA Permit license(NO.99023467A) which status is Superceded.
| Name | Gordon, Mary Ann |
|---|---|
| License Number | 99023467A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |