The holder whose full name is Glass, Terrence Leroy,come from Fort Wayne IN,hold the Temporary PTA Permit license(NO.99020673A) which status is Superceded.
| Name | Glass, Terrence Leroy |
|---|---|
| License Number | 99020673A |
| License Type | Temporary PTA Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |