Indiana
Professional Licensing Agency
Charles Hampton Lockyear
Health Facility Administrator Provisional
License number
47000105A
Date granted
06/03/2004
Date expires
12/03/2004
Class
Health Facility Administrator Provisional
Status
Expired
Address
Mishawaka IN 46545
indianalicensing.org
ID 5690451
LAST UPDATED 2026-05-10 07:57:34 UTC
LAST UPDATED 2026-05-10 07:57:34 UTC
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