License holder summary

Kathryn L. Wallace is a Radiology Provisional Permit licensed to practice in Indiana. The address on file for Kathryn L. Wallace is Muncie IN 47304-4422. This licensed professional license is not current. The license was granted 11/09/2011 and expired on 05/09/2012.

Indiana

Professional Licensing Agency

Kathryn L. Wallace
Radiology Provisional Permit
License number
XP503730
Date granted
11/09/2011
Date expires
05/09/2012
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Muncie IN 47304-4422
indianalicensing.org
ID 8494049
LAST UPDATED 2026-03-28 00:44:40 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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