The holder whose full name is Blaesing, Katelyn D.,come from Fishers IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005121) which status is Expired Non-Renewable.
| Name | Blaesing, Katelyn D. |
|---|---|
| License Number | XS005121 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Fishers |
| State | IN |