Indiana
Professional Licensing Agency
LARA ANN BOULTON
Health Facility Administrator
License number
14004008A
Date granted
03/19/1996
Date expires
08/31/2002
Class
Health Facility Administrator
Status
Expired
Address
Indianapolis IN 46220
indianalicensing.org
ID 5682819
LAST UPDATED 2026-03-16 15:58:35 UTC
LAST UPDATED 2026-03-16 15:58:35 UTC
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