Indiana
Professional Licensing Agency
Dawn Lyn Black
Health Facility Administrator
License number
14002699A
Date granted
10/30/1984
Date expires
08/31/2016
Class
Health Facility Administrator
Status
Active
Address
North Vernon IN 47265
indianalicensing.org
ID 5684760
LAST UPDATED 2024-04-05 18:13:55 UTC
LAST UPDATED 2024-04-05 18:13:55 UTC
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