JANE M SMITH

Health Facility Admin Board - Preceptor Eligible

Indiana  15003814A   Expired

This Indiana license was held by JANE M SMITH. The license is no longer active. It was granted on 09/20/1996 and expired on 06/01/2002

LICENSE DETAILS

  • License Number: 15003814A
  • Category: Preceptor Eligible
  • Status: Expired
  • Date Granted: 09/20/1996 (over 28 years ago)
  • Expiry Date: 06/01/2002 (almost 23 years ago)

LOCATIONS

A Address

LAFAYETTE IN 47903