The holder whose full name is Goetz, Melanie Diane,come from Plainfield IN,hold the Temporary PTA Permit license(NO.99050877A) which status is Superceded.
| Name | Goetz, Melanie Diane |
|---|---|
| License Number | 99050877A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Plainfield |
| State | IN |