The holder whose full name is BLACK, ALISHA DAWN,come from Norris City IL,hold the Respiratory Care Practitioner license(NO.30004960A) which status is Expired.
| Name | BLACK, ALISHA DAWN |
|---|---|
| License Number | 30004960A |
| License Type | Respiratory Care Practitioner |
| License Status | Expired |
| City | Norris City |
| State | IL |