Indiana
Professional Licensing Agency
Jody Seth Eubanks
Health Facility Administrator Temporary Permit
License number
99015554A
Date granted
01/24/2005
Date expires
04/26/2005
Class
Health Facility Administrator Temporary Permit
Status
Expired
Address
Vincennes IN 47591
indianalicensing.org
ID 5692085
LAST UPDATED 2026-04-12 01:18:32 UTC
LAST UPDATED 2026-04-12 01:18:32 UTC
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