The holder whose full name is Irby, Natalie LaShawn,come from Indianapolis IN,hold the Temporary PTA Permit license(NO.99021763A) which status is Superceded.
| Name | Irby, Natalie LaShawn |
|---|---|
| License Number | 99021763A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |