Indiana
Professional Licensing Agency
MARY ELLEN HAVERSTICK
Health Facility Administrator
License number
14002829A
Date granted
11/14/1985
Date expires
08/31/2014
Class
Health Facility Administrator
Status
Expired
Address
FORT WAYNE IN 46805
indianalicensing.org
ID 5682062
LAST UPDATED 2024-03-18 15:31:20 UTC
LAST UPDATED 2024-03-18 15:31:20 UTC
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