Indiana
Professional Licensing Agency
PHYLLIS JEAN TIMM
Health Facility Administrator
License number
14001919A
Date granted
01/21/1978
Date expires
01/31/1984
Class
Health Facility Administrator
Status
Expired
Address
FORT WAYNE IN 46815
indianalicensing.org
ID 5682087
LAST UPDATED 2024-03-29 14:24:09 UTC
LAST UPDATED 2024-03-29 14:24:09 UTC
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