License holder summary

JACKIE FORD is a Health Facility Administrator licensed to practice in Indiana. The address on file for JACKIE FORD is BLOOMINGTON IN 47401. This licensed professional license is not current. The license was granted 01/31/1983 and expired on 01/31/1985.

Indiana

Professional Licensing Agency

JACKIE FORD
Health Facility Administrator
License number
14002404A
Date granted
01/31/1983
Date expires
01/31/1985
Class
Health Facility Administrator
Status
Expired
Address
BLOOMINGTON IN 47401
indianalicensing.org
ID 5681008
LAST UPDATED 2024-02-18 22:44:53 UTC

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