The holder whose full name is Ambrose, Becky S.,come from Haubstadt IN,hold the Temporary PTA Permit license(NO.99051898A) which status is Expired.
| Name | Ambrose, Becky S. |
|---|---|
| License Number | 99051898A |
| License Type | Temporary PTA Permit |
| License Status | Expired |
| City | Haubstadt |
| State | IN |