The holder whose full name is Fugate, Karen Marie,come from Fort Wayne IN,hold the Temporary RCP Permit license(NO.99015660A) which status is Superceded.
| Name | Fugate, Karen Marie |
|---|---|
| License Number | 99015660A |
| License Type | Temporary RCP Permit |
| License Status | Superceded |
| City | Fort Wayne |
| State | IN |