Indiana
Professional Licensing Agency
Desiree Dawn Koger Gustafson
Health Facility Administrator
License number
14004535A
Date granted
10/10/2002
Date expires
08/31/2016
Class
Health Facility Administrator
Status
Inactive
Address
Fort Wayne IN 46835
indianalicensing.org
ID 5686171
LAST UPDATED 2024-03-02 23:18:24 UTC
LAST UPDATED 2024-03-02 23:18:24 UTC
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