Brian Scott Lane
Health Facility Admin Board - Preceptor Eligible
Indiana 15003883A Expired
This Indiana license was held by Brian Scott Lane. The license is no longer active. It was granted on 08/03/2004 and expired on 08/03/2009
LICENSE DETAILS
- License Number: 15003883A
- Category: Preceptor Eligible
- Status: Expired
- Date Granted: 08/03/2004 (over 20 years ago)
- Expiry Date: 08/03/2009 (over 15 years ago)
LOCATIONS
A Address
Greenwood IN 46143