Indiana
Professional Licensing Agency
Lisa M. Glaze
Dental Radiographer
License number
XT019085
Date granted
09/21/2010
Date expires
09/21/2016
Class
Dental Radiographer
Status
Active
Address
Brooklyn IN 46111
indianalicensing.org
ID 29200414
LAST UPDATED 2026-04-15 12:45:08 UTC
LAST UPDATED 2026-04-15 12:45:08 UTC
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