License holder summary

Bert Russell Brockway is a Respiratory Care Practitioner licensed to practice in Indiana. The address on file for Bert Russell Brockway is Greenwood IN 46142. This licensed professional license is not current. The license was granted 07/12/1993 and expired on 12/31/2004.

Indiana

Professional Licensing Agency

Bert Russell Brockway
Respiratory Care Practitioner
License number
30003204A
Date granted
07/12/1993
Date expires
12/31/2004
Class
Respiratory Care Practitioner
Status
Expired
Address
Greenwood IN 46142
indianalicensing.org
ID 8615209
LAST UPDATED 2024-02-14 02:30:21 UTC

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