License holder summary

Gary A. Black is a Temporary Occupational Therapy Assistant Permit licensed to practice in Indiana. The address on file for Gary A. Black is Fort Wayne IN 46808. This licensed professional license is not current. The license was granted 08/29/2014 and expired on 10/20/2014.

Indiana

Professional Licensing Agency

Gary A. Black
Temporary Occupational Therapy Assistant Permit
License number
99063530A
Date granted
08/29/2014
Date expires
10/20/2014
Class
Temporary Occupational Therapy Assistant Permit
Status
Expired
Address
Fort Wayne IN 46808
indianalicensing.org
ID 29108968
LAST UPDATED 2024-04-01 09:29:17 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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