The holder whose full name is Wallis, Julian J.,come from Hammond IN,hold the Radiology Student Permit - Radiography license(NO.XS007228) which status is Active.
| Name | Wallis, Julian J. |
|---|---|
| License Number | XS007228 |
| License Type | Radiology Student Permit - Radiography |
| License Status | Active |
| City | Hammond |
| State | IN |