The holder whose full name is DeMeulenaere, Katie Marie,come from Mishawaka IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS002541) which status is Expired Non-Renewable.
Name | DeMeulenaere, Katie Marie |
---|---|
License Number | XS002541 |
License Type | Radiology Student Permit - Dental Radiography |
License Status | Expired Non-Renewable |
City | Mishawaka |
State | IN |