Indiana
Professional Licensing Agency
Connie M. Brouillette
Health Facility Administrator
License number
14000759A
Date granted
07/30/1972
Date expires
08/31/2008
Class
Health Facility Administrator
Status
Expired
Address
Fowler IN 47944
indianalicensing.org
ID 5682138
LAST UPDATED 2024-04-02 04:51:07 UTC
LAST UPDATED 2024-04-02 04:51:07 UTC
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