The holder whose full name is Martinez Baltazar, Herminio,come from Indianapolis IN,hold the Provisional Cosmetologist license(NO.BCP1200008) which status is Superceded.
| Name | Martinez Baltazar, Herminio |
|---|---|
| License Number | BCP1200008 |
| License Type | Provisional Cosmetologist |
| License Status | Superceded |
| City | Indianapolis |
| State | IN |