Indiana
Professional Licensing Agency
Nicole L. Balmer
Radiology Student Permit
License number
XS005354
Date granted
11/09/2011
Date expires
01/31/2013
Class
Radiology Student Permit
Status
Expired Non-Renewable
Address
Peru IN 46970
indianalicensing.org
ID 8502550
LAST UPDATED 2026-03-30 22:12:40 UTC
LAST UPDATED 2026-03-30 22:12:40 UTC
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