Indiana
Professional Licensing Agency
Mary Martha Moore
Health Facility Administrator
License number
14003037A
Date granted
08/12/1987
Date expires
08/31/2010
Class
Health Facility Administrator
Status
Expired
Address
Angola IN 46703
indianalicensing.org
ID 5680820
LAST UPDATED 2026-03-23 17:29:49 UTC
LAST UPDATED 2026-03-23 17:29:49 UTC
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