Indiana
Professional Licensing Agency
MONTE DAVID ICE
Health Facility Administrator
License number
14001909A
Date granted
01/20/1978
Date expires
01/31/1986
Class
Health Facility Administrator
Status
Expired
Address
FORT WAYNE IN 46805
indianalicensing.org
ID 5682070
LAST UPDATED 2024-03-30 15:05:59 UTC
LAST UPDATED 2024-03-30 15:05:59 UTC
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