Indiana
Professional Licensing Agency
Mark Mattox
Health Facility Administrator
License number
14004540A
Date granted
11/13/2002
Date expires
08/31/2016
Class
Health Facility Administrator
Status
Inactive
Address
Alexandria IN 46001
indianalicensing.org
ID 5680744
LAST UPDATED 2024-03-02 15:51:21 UTC
LAST UPDATED 2024-03-02 15:51:21 UTC
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