The holder whose full name is Lewis, Jason James,come from Fort Wayne IN,hold the Temporary RCP Permit license(NO.99052151A) which status is Superceded.
| Name | Lewis, Jason James |
|---|---|
| License Number | 99052151A |
| License Type | Temporary RCP Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |