Indiana
Professional Licensing Agency
Beth Ann Black
Respiratory Care Practitioner
License number
30006274A
Date granted
04/19/2005
Date expires
12/31/2016
Class
Respiratory Care Practitioner
Status
Active
Address
Fort Wayne IN 46815
indianalicensing.org
ID 8614458
LAST UPDATED 2024-02-07 16:40:39 UTC
LAST UPDATED 2024-02-07 16:40:39 UTC
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