Indiana
Professional Licensing Agency
Lisa Marie Kozak
Respiratory Care Practitioner
License number
30005591A
Date granted
11/19/2001
Date expires
12/31/2014
Class
Respiratory Care Practitioner
Status
Active
Address
Wheatfield IN 46392
indianalicensing.org
ID 8618977
LAST UPDATED 2024-04-13 10:07:51 UTC
LAST UPDATED 2024-04-13 10:07:51 UTC
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