Indiana
Professional Licensing Agency
Staci R. Keen
Health Facility Administrator
License number
14004990A
Date granted
09/23/2009
Date expires
08/31/2016
Class
Health Facility Administrator
Status
Active
Address
Portland IN 47371
indianalicensing.org
ID 5685200
LAST UPDATED 2024-03-30 09:16:23 UTC
LAST UPDATED 2024-03-30 09:16:23 UTC
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