License holder summary

Carrie Ann Black Bourassa is a Medical - Respiratory Therapist licensed to practice in Minnesota. The address on file for Carrie Ann Black Bourassa is 2414 Sumac Way, Woodbury, MN 55125. This licensed professional license is current. The license was granted 09/13/1997 and expired on 06/30/2015.

Minnesota

Department of Labor and Industry

Carrie Ann Black Bourassa
Medical - Respiratory Therapist
License number
2276
Date granted
09/13/1997
Date expires
06/30/2015
Class
Medical - Respiratory Therapist
Status
Active
Address
2414 Sumac Way, Woodbury, MN 55125
mnlicensing.org
ID 22356419
LAST UPDATED 2024-03-08 06:22:02 UTC

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