Indiana
Professional Licensing Agency
Derrick Mumba
Health Facility Administrator
License number
14005248A
Date granted
11/05/2013
Date expires
08/31/2016
Class
Health Facility Administrator
Status
Active
Address
Fort Wayne IN 46835
indianalicensing.org
ID 11813064
LAST UPDATED 2024-03-19 03:28:26 UTC
LAST UPDATED 2024-03-19 03:28:26 UTC
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