Indiana
Professional Licensing Agency
Holly A. Northam
Health Facility Administrator
License number
14004607A
Date granted
10/14/2003
Date expires
08/31/2016
Class
Health Facility Administrator
Status
Active
Address
Jeffersonville IN 47130
indianalicensing.org
ID 5683095
LAST UPDATED 2024-04-18 19:03:50 UTC
LAST UPDATED 2024-04-18 19:03:50 UTC
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