Indiana
Professional Licensing Agency
Tabatha J. Wallace
Dental Radiographer
License number
XT013269
Date expires
10/05/2016
Class
Dental Radiographer
Status
Active
Address
Coatesville IN 46121-9192
indianalicensing.org
ID 8460676
LAST UPDATED 2026-04-01 08:53:48 UTC
LAST UPDATED 2026-04-01 08:53:48 UTC
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