License holder summary

Brock Anthony Black is a Respiratory Care Practitioner licensed to practice in Indiana. The address on file for Brock Anthony Black is Sullivan IN 47882. This licensed professional license is current. The license was granted 01/19/2000 and expired on 12/31/2016.

Indiana

Professional Licensing Agency

Brock Anthony Black
Respiratory Care Practitioner
License number
30005196A
Date granted
01/19/2000
Date expires
12/31/2016
Class
Respiratory Care Practitioner
Status
Active
Address
Sullivan IN 47882
indianalicensing.org
ID 8618361
LAST UPDATED 2026-04-20 00:12:12 UTC

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