License holder summary

KHADIJAH WALLACE is a Radiology Personnel - Auxiliary Person by Exam licensed to practice in Pennsylvania. The address on file for KHADIJAH WALLACE is Philadelphia PA 19143. This licensed professional license is current. The license was granted 04/28/2006.

Pennsylvania

Department of State

KHADIJAH WALLACE
Radiology Personnel - Auxiliary Person by Exam
License number
002313
Date granted
04/28/2006
Class
Radiology Personnel - Auxiliary Person by Exam
Status
Active
Address
Philadelphia PA 19143
palicensing.org
ID 17402850
LAST UPDATED 2024-05-24 16:46:21 UTC

This website is unaffiliated with the Department of State. Please verify all information directly with the relevant official government authority.

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