Stacy R. Black
Respiratory Care Practitioner
Indiana 30008721A Active
This Indiana license is held by Stacy R. Black. The license is currently active. It was granted on 08/18/2014 and expired on 12/31/2014
LICENSE DETAILS
- License Number: 30008721A
- Category: Respiratory Care Practitioner
- Status: Active
- Date Granted: 08/18/2014 (almost 10 years ago)
- Expiry Date: 12/31/2014 (over 9 years ago)
LOCATIONS
A Address
Fort Wayne IN 46805
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