The holder whose full name is Pettis, Mark,come from La Porte IN,hold the Temporary PTA Permit license(NO.99014650A) which status is Superceded.
| Name | Pettis, Mark |
|---|---|
| License Number | 99014650A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | La Porte |
| State | IN |