Indiana
Professional Licensing Agency
WAYNE MAURICE SHIVE
Health Facility Administrator
License number
14001931A
Date granted
02/06/1978
Date expires
01/31/1986
Class
Health Facility Administrator
Status
Expired
Address
FORT WAYNE IN 46825
indianalicensing.org
ID 5682125
LAST UPDATED 2024-02-23 07:05:51 UTC
LAST UPDATED 2024-02-23 07:05:51 UTC
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