Indiana
Professional Licensing Agency
Robert D Wallace
Health Facility Administrator
License number
14001477A
Date granted
05/27/1975
Date expires
08/31/2016
Class
Health Facility Administrator
Status
Active
Address
Noblesville IN 46062
indianalicensing.org
ID 5684688
LAST UPDATED 2024-05-02 13:54:46 UTC
LAST UPDATED 2024-05-02 13:54:46 UTC
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