License holder summary

Lisa K. Wallace is a Radiologic Technologist licensed to practice in Indiana. The address on file for Lisa K. Wallace is Burlington IN 46915-0133.

Indiana

Professional Licensing Agency

Lisa K. Wallace
Radiologic Technologist
License number
XT003659
Date expires
02/16/2015
Class
Radiologic Technologist
Status
Active
Address
Burlington IN 46915-0133
indianalicensing.org
ID 8476978
LAST UPDATED 2026-05-21 18:01:54 UTC

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