Indiana
Professional Licensing Agency
Kathy Jo Shireman
Health Facility Administrator Temporary Permit
License number
99026478A
Date granted
04/25/2007
Date expires
07/24/2007
Class
Health Facility Administrator Temporary Permit
Status
Expired
Address
Lanesville IN 47136
indianalicensing.org
ID 5691825
LAST UPDATED 2024-02-25 15:45:33 UTC
LAST UPDATED 2024-02-25 15:45:33 UTC
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