Indiana
Professional Licensing Agency
Lisa M. Bezy
Radiology Provisional Permit
License number
XP502114
Date granted
10/27/2009
Date expires
04/27/2010
Class
Radiology Provisional Permit
Status
Expired Non-Renewable
Address
Vincennes IN 47591-4356
indianalicensing.org
ID 8495897
LAST UPDATED 2026-05-02 00:28:36 UTC
LAST UPDATED 2026-05-02 00:28:36 UTC
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