The holder whose full name is Wallace, Constance S.,come from LaPorte IN,hold the Radiologic Technologist license(NO.XT007236) which status is Expired.
| Name | Wallace, Constance S. |
|---|---|
| License Number | XT007236 |
| License Type | Radiologic Technologist |
| License Status | Expired |
| City | LaPorte |
| State | IN |