Indiana
Professional Licensing Agency
Marsha Jane Lively
Health Facility Administrator
License number
14003225A
Date granted
03/30/1989
Date expires
08/31/1998
Class
Health Facility Administrator
Status
Expired
Address
Mishawaka IN 46544
indianalicensing.org
ID 5683919
LAST UPDATED 2024-04-16 11:40:59 UTC
LAST UPDATED 2024-04-16 11:40:59 UTC
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