Indiana
Professional Licensing Agency
Stacie Earlene Shive
Health Facility Administrator
License number
14004715A
Date granted
06/07/2005
Date expires
08/31/2010
Class
Health Facility Administrator
Status
Expired
Address
Lexington KY 40509
indianalicensing.org
ID 5683460
LAST UPDATED 2024-03-20 04:50:48 UTC
LAST UPDATED 2024-03-20 04:50:48 UTC
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