Indiana
Professional Licensing Agency
EDWARD R SHAW
Health Facility Administrator
License number
14001568A
Date granted
04/12/1976
Date expires
03/31/1982
Class
Health Facility Administrator
Status
Expired
Address
BLOOMINGTON IN 47401
indianalicensing.org
ID 5681001
LAST UPDATED 2024-03-11 10:57:52 UTC
LAST UPDATED 2024-03-11 10:57:52 UTC
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