Indiana
Professional Licensing Agency
Lisa Ann Gustus
Health Facility Administrator
License number
14004497A
Date granted
04/24/2002
Date expires
08/31/2016
Class
Health Facility Administrator
Status
Active
Address
New Richmond IN 47967
indianalicensing.org
ID 5686714
LAST UPDATED 2024-04-07 10:31:47 UTC
LAST UPDATED 2024-04-07 10:31:47 UTC
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