Indiana
Professional Licensing Agency
Greggory David Fuller
Health Facility Administrator
License number
14004575A
Date granted
04/29/2003
Date expires
08/31/2016
Class
Health Facility Administrator
Status
Active
Address
fort wayne IN 46818
indianalicensing.org
ID 5682004
LAST UPDATED 2024-05-11 04:29:45 UTC
LAST UPDATED 2024-05-11 04:29:45 UTC
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