Indiana
Professional Licensing Agency
Susan Ruth Polk
Respiratory Care Practitioner
License number
30000279A
Date granted
11/09/1990
Date expires
12/31/2008
Class
Respiratory Care Practitioner
Status
Surrendered
Address
Plainfield IN 46168
indianalicensing.org
ID 8617671
LAST UPDATED 2024-03-05 23:14:18 UTC
LAST UPDATED 2024-03-05 23:14:18 UTC
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