The holder whose full name is Balmer, Nicole L.,come from Peru IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005354) which status is Expired Non-Renewable.
| Name | Balmer, Nicole L. |
|---|---|
| License Number | XS005354 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Peru |
| State | IN |