Indiana
Professional Licensing Agency
Julie Therese Kelly
Health Facility Administrator Provisional
License number
47000163A
Date granted
12/31/2009
Date expires
06/30/2010
Class
Health Facility Administrator Provisional
Status
Expired
Address
Fort Wayne IN 46835
indianalicensing.org
ID 5689777
LAST UPDATED 2024-02-22 04:04:46 UTC
LAST UPDATED 2024-02-22 04:04:46 UTC
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