Indiana
Professional Licensing Agency
Beth Anne Fackler
Respiratory Care Practitioner
License number
30005439A
Date granted
03/12/2001
Date expires
12/31/2006
Class
Respiratory Care Practitioner
Status
Expired
Address
Fort Wayne IN 46835
indianalicensing.org
ID 8614460
LAST UPDATED 2026-04-11 19:30:24 UTC
LAST UPDATED 2026-04-11 19:30:24 UTC
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