The holder whose full name is Balasa, Nicole V.,come from Nappanee IN,hold the Dental Hygienist license(NO.13004167A) which status is Active.
| Name | Balasa, Nicole V. |
|---|---|
| License Number | 13004167A |
| License Type | Dental Hygienist |
| License Status | Active |
| City | Nappanee |
| State | IN |