Indiana
Professional Licensing Agency
Ted P. Wallace
Radiologic Technologist
License number
XT007289
Date expires
11/12/2011
Class
Radiologic Technologist
Status
Expired
Address
Columbia City IN 46725-7702
indianalicensing.org
ID 8477597
LAST UPDATED 2026-06-02 01:07:40 UTC
LAST UPDATED 2026-06-02 01:07:40 UTC
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