The holder whose full name is Demunck, Nicole L.,come from La Porte IN,hold the Radiology Provisional Permit - Podiatric Radiography license(NO.XP505940) which status is Active.
| Name | Demunck, Nicole L. |
|---|---|
| License Number | XP505940 |
| License Type | Radiology Provisional Permit - Podiatric Radiography |
| License Status | Active |
| City | La Porte |
| State | IN |