License holder summary

Rebecca Susan Black is a Speech Language Pathology & Audio Board - Clinical Fellowship Year licensed to practice in Indiana. The address on file for Rebecca Susan Black is Avon IN 46123. This licensed professional license is not current. The license was granted 06/21/2005 and expired on 12/21/2006.

Indiana

Professional Licensing Agency

Rebecca Susan Black
Speech Language Pathology & Audio Board - Clinical Fellowship Year
License number
46001540A
Date granted
06/21/2005
Date expires
12/21/2006
Class
Speech Language Pathology & Audio Board - Clinical Fellowship Year
Status
Expired
Address
Avon IN 46123
indianalicensing.org
ID 8623067
LAST UPDATED 2024-03-01 00:42:19 UTC

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