Indiana
Professional Licensing Agency
Bruce Vaca
Health Facility Administrator Provisional
License number
47000136A
Date granted
11/14/2006
Date expires
05/14/2007
Class
Health Facility Administrator Provisional
Status
Expired
Address
Sullivan IL 61951
indianalicensing.org
ID 5691101
LAST UPDATED 2024-05-06 19:10:49 UTC
LAST UPDATED 2024-05-06 19:10:49 UTC
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