License holder summary

Autumn Forie Black is a Health Care - Chemical Dependency Professional Trainee Certification licensed to practice in Washington. This medical licensee license is not current. The license was granted 10/21/2014 and expired on 10/21/2015.

Washington

Medical Commission

Autumn Forie Black
Health Care - Chemical Dependency Professional Trainee Certification
License number
CO60514142
Date granted
10/21/2014
Date expires
10/21/2015
Class
Health Care - Chemical Dependency Professional Trainee Certification
Status
Expired
wamedicine.com
ID 40169545
LAST UPDATED 2026-06-08 10:42:24 UTC

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