Indiana
Professional Licensing Agency
Su Lynn Frederickson
Health Facility Administrator
License number
14003189A
Date granted
01/06/1989
Date expires
08/31/2016
Class
Health Facility Administrator
Status
Active
Address
Bloomington IN 47404
indianalicensing.org
ID 5681026
LAST UPDATED 2024-03-05 10:09:41 UTC
LAST UPDATED 2024-03-05 10:09:41 UTC
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