License holder summary

Gary Robert Black is a Respiratory Care Practitioner licensed to practice in Indiana. The address on file for Gary Robert Black is Fort Wayne IN 46804-4808. This licensed professional license is not current. The license was granted 05/31/1994 and expired on 12/31/1996.

Indiana

Professional Licensing Agency

Gary Robert Black
Respiratory Care Practitioner
License number
30003607A
Date granted
05/31/1994
Date expires
12/31/1996
Class
Respiratory Care Practitioner
Status
Expired
Address
Fort Wayne IN 46804-4808
indianalicensing.org
ID 8614554
LAST UPDATED 2024-04-11 06:36:49 UTC

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