The holder whose full name is Long, Melissa A,come from Anderson IN,hold the Temporary PTA Permit license(NO.99003730A) which status is Superceded.
| Name | Long, Melissa A |
|---|---|
| License Number | 99003730A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Anderson |
| State | IN |