Indiana
Professional Licensing Agency
JACKSON CLARK
Respiratory Care Practitioner
License number
30001512A
Date granted
06/10/1991
Date expires
12/31/1994
Class
Respiratory Care Practitioner
Status
Expired
Address
POLAND IN 47868
indianalicensing.org
ID 8617691
LAST UPDATED 2026-06-13 23:54:06 UTC
LAST UPDATED 2026-06-13 23:54:06 UTC
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