License holder summary

JACKSON CLARK is a Respiratory Care Practitioner licensed to practice in Indiana. The address on file for JACKSON CLARK is POLAND IN 47868. This licensed professional license is not current. The license was granted 06/10/1991 and expired on 12/31/1994.

Indiana

Professional Licensing Agency

JACKSON CLARK
Respiratory Care Practitioner
License number
30001512A
Date granted
06/10/1991
Date expires
12/31/1994
Class
Respiratory Care Practitioner
Status
Expired
Address
POLAND IN 47868
indianalicensing.org
ID 8617691
LAST UPDATED 2024-03-17 13:59:17 UTC

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