The holder whose full name is Lewis, Terence William,come from Oak Lawn IL,hold the Temporary RCP Permit license(NO.99025815A) which status is Superceded.
| Name | Lewis, Terence William |
|---|---|
| License Number | 99025815A |
| License Type | Temporary RCP Permit |
| License Status | Superceded |
| City | Oak Lawn |
| State | IL |