The holder whose full name is Prater, Nicole R.,come from Seymour IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS005280) which status is Expired Non-Renewable.
| Name | Prater, Nicole R. |
|---|---|
| License Number | XS005280 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Seymour |
| State | IN |