The holder whose full name is Boucher, Pamela S.,come from Greentown IN,hold the Radiology Student Permit - Dental Radiography license(NO.XS001647) which status is Expired Non-Renewable.
| Name | Boucher, Pamela S. |
|---|---|
| License Number | XS001647 |
| License Type | Radiology Student Permit - Dental Radiography |
| License Status | Expired Non-Renewable |
| City | Greentown |
| State | IN |