The holder whose full name is Bolz, Jennifer M.,come from Crown Point IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001773) which status is Expired Non-Renewable.
| Name | Bolz, Jennifer M. |
|---|---|
| License Number | XS001773 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Crown Point |
| State | IN |