The holder whose full name is Baker, Deiandra K.,come from Peru IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005379) which status is Expired Non-Renewable.
| Name | Baker, Deiandra K. |
|---|---|
| License Number | XS005379 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Peru |
| State | IN |