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
LAST UPDATED 2024-03-29 22:24:04 UTC
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