The holder whose full name is Healy, Michael James,come from Hobart IN,hold the Temporary PTA Permit license(NO.99000391A) which status is Superceded.
| Name | Healy, Michael James |
|---|---|
| License Number | 99000391A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Hobart |
| State | IN |