Indiana
Professional Licensing Agency
Jacqueline E Clark
Health Facility Administrator
License number
14004972A
Date granted
06/09/2009
Date expires
08/31/2016
Class
Health Facility Administrator
Status
Active
Address
Merrillville IN 46410
indianalicensing.org
ID 5683813
LAST UPDATED 2024-03-19 12:17:37 UTC
LAST UPDATED 2024-03-19 12:17:37 UTC
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