Indiana
Professional Licensing Agency
Dianne E. Blackford
Health Facility Administrator
License number
14000267A
Date granted
06/30/1971
Date expires
08/31/2008
Class
Health Facility Administrator
Status
Expired
Address
Elwood IN 46036
indianalicensing.org
ID 5681681
LAST UPDATED 2024-04-22 05:17:09 UTC
LAST UPDATED 2024-04-22 05:17:09 UTC
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