Indiana
Professional Licensing Agency
Soukhy M. Clark
Health Facility Administrator
License number
14005043A
Date granted
08/10/2010
Date expires
08/31/2016
Class
Health Facility Administrator
Status
Active
Address
Atlanta GA 30309
indianalicensing.org
ID 5680830
LAST UPDATED 2026-05-18 22:06:16 UTC
LAST UPDATED 2026-05-18 22:06:16 UTC
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