Indiana
Professional Licensing Agency
Teri L. Fallon
Health Facility Administrator Provisional
License number
47000113A
Date granted
03/24/2005
Date expires
09/24/2005
Class
Health Facility Administrator Provisional
Status
Expired
Address
South Bend IN 46616
indianalicensing.org
ID 5691055
LAST UPDATED 2024-03-10 14:06:52 UTC
LAST UPDATED 2024-03-10 14:06:52 UTC
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