The holder whose full name is Bantle, Michelle J.,come from Indianapolis IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001318) which status is Expired Non-Renewable.
| Name | Bantle, Michelle J. |
|---|---|
| License Number | XS001318 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Indianapolis |
| State | IN |