The holder whose full name is BLACK, BLENDA T.,come from GARY IN,hold the Qualified Medication Aide license(NO.QMA9900280) which status is Active.
| Name | BLACK, BLENDA T. |
|---|---|
| License Number | QMA9900280 |
| License Type | Qualified Medication Aide |
| License Status | Active |
| City | GARY |
| State | IN |