The holder whose full name is Ballard, Chelsey Lee,come from Lafayette IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS006124) which status is Expired Non-Renewable.
| Name | Ballard, Chelsey Lee |
|---|---|
| License Number | XS006124 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Lafayette |
| State | IN |