Indiana
Professional Licensing Agency
BENNY THOMAS BLACKFORD
Respiratory Care Practitioner
License number
30004142A
Date granted
02/21/1996
Date expires
12/31/2012
Class
Respiratory Care Practitioner
Status
Expired
Address
Newburgh IN 47630
indianalicensing.org
ID 8617311
LAST UPDATED 2024-03-27 02:51:28 UTC
LAST UPDATED 2024-03-27 02:51:28 UTC
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