License holder summary

Jamie J. Wallace is a Dental Radiographer licensed to practice in Indiana. The address on file for Jamie J. Wallace is Avilla IN 46710-9512. This licensed professional license is current. The license was granted 03/05/2007 and expired on 03/05/2015.

Indiana

Professional Licensing Agency

Jamie J. Wallace
Dental Radiographer
License number
XT015370
Date granted
03/05/2007
Date expires
03/05/2015
Class
Dental Radiographer
Status
Active
Address
Avilla IN 46710-9512
indianalicensing.org
ID 8458957
LAST UPDATED 2024-03-19 23:01:01 UTC

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