Indiana
Professional Licensing Agency
Dianne E. Blackford
Health Facility Administrator
License number
14000267A
Date granted
06/30/1971
Date expires
08/31/2008
Class
Health Facility Administrator
Status
Expired
Address
Elwood IN 46036
indianalicensing.org
ID 5681681
LAST UPDATED 2026-06-08 02:10:37 UTC
LAST UPDATED 2026-06-08 02:10:37 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.