The holder whose full name is Bultinick, Rick Gregory,come from Mishawaka IN,hold the Temporary PTA Permit license(NO.99008222A) which status is Superceded.
| Name | Bultinick, Rick Gregory |
|---|---|
| License Number | 99008222A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Mishawaka |
| State | IN |