License holder summary

KEITH NELSON AMBROSE is a Health Facility Administrator licensed to practice in Indiana. The address on file for KEITH NELSON AMBROSE is FORT WAYNE IN 46825. This licensed professional license is not current. The license was granted 08/31/1988 and expired on 08/31/1994.

Indiana

Professional Licensing Agency

KEITH NELSON AMBROSE
Health Facility Administrator
License number
14002916A
Date granted
08/31/1988
Date expires
08/31/1994
Class
Health Facility Administrator
Status
Expired
Address
FORT WAYNE IN 46825
indianalicensing.org
ID 5682033
LAST UPDATED 2024-03-29 22:24:04 UTC

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