Indiana
Professional Licensing Agency
DONALD A. SHIVE
Health Facility Administrator
License number
14001523A
Date granted
01/31/1978
Date expires
01/31/1986
Class
Health Facility Administrator
Status
Expired
Address
FORT WAYNE IN 46825
indianalicensing.org
ID 5681987
LAST UPDATED 2024-04-10 01:07:55 UTC
LAST UPDATED 2024-04-10 01:07:55 UTC
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