Indiana
Professional Licensing Agency
Stacy R. Black
Respiratory Care Practitioner
License number
30008721A
Date granted
08/18/2014
Date expires
12/31/2014
Class
Respiratory Care Practitioner
Status
Active
Address
Fort Wayne IN 46805
indianalicensing.org
ID 29378145
LAST UPDATED 2024-04-16 18:37:12 UTC
LAST UPDATED 2024-04-16 18:37:12 UTC
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