The holder whose full name is Ballard, Asjah R.,come from Indianapolis IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS003969) which status is Expired Non-Renewable.
| Name | Ballard, Asjah R. |
|---|---|
| License Number | XS003969 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Indianapolis |
| State | IN |