Indiana
Professional Licensing Agency
CHARLES E MANTOCK
Respiratory Care Practitioner
License number
30003214A
Date granted
07/12/1993
Date expires
12/31/2006
Class
Respiratory Care Practitioner
Status
Expired
Address
FORT WAYNE IN 46804
indianalicensing.org
ID 8614488
LAST UPDATED 2024-02-10 14:36:53 UTC
LAST UPDATED 2024-02-10 14:36:53 UTC
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