Indiana
Professional Licensing Agency
David P. Souder
Health Facility Administrator
License number
14001618A
Date granted
06/08/1976
Date expires
08/31/2016
Class
Health Facility Administrator
Status
Active
Address
Fort Wayne IN 46814
indianalicensing.org
ID 5681976
LAST UPDATED 2024-02-21 19:14:37 UTC
LAST UPDATED 2024-02-21 19:14:37 UTC
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