Indiana
Professional Licensing Agency
PHYLLIS JEAN TITTMAN
Health Facility Administrator
License number
14002149A
Date granted
02/28/1979
Date expires
08/31/1994
Class
Health Facility Administrator
Status
Expired
Address
FORT WAYNE IN 46818
indianalicensing.org
ID 5682082
LAST UPDATED 2024-02-21 01:54:19 UTC
LAST UPDATED 2024-02-21 01:54:19 UTC
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