The holder whose full name is BLACK, ANNE DETJEN,come from INDIANAPOLIS IN,hold the Reg Environmental Health Specialist license(NO.21000390A) which status is Expired Non-Renewable.
| Name | BLACK, ANNE DETJEN |
|---|---|
| License Number | 21000390A |
| License Type | Reg Environmental Health Specialist |
| License Status | Expired Non-Renewable |
| City | INDIANAPOLIS |
| State | IN |