License holder summary

CONNIE LYNN SAMPLE is a Respiratory Care Practitioner licensed to practice in Indiana. The address on file for CONNIE LYNN SAMPLE is Fort Wayne IN 46805. This licensed professional license is not current. The license was granted 03/20/1995 and expired on 12/31/1996.

Indiana

Professional Licensing Agency

CONNIE LYNN SAMPLE
Respiratory Care Practitioner
License number
30003913A
Date granted
03/20/1995
Date expires
12/31/1996
Class
Respiratory Care Practitioner
Status
Expired
Address
Fort Wayne IN 46805
indianalicensing.org
ID 8614501
LAST UPDATED 2024-01-28 19:26:05 UTC

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