John Stephen Dattilo
Health Facility Admin Board - Preceptor Eligible
Indiana 15004105A Expired
This Indiana license was held by John Stephen Dattilo. The license is no longer active. It was granted on 02/04/2005 and expired on 02/04/2010
LICENSE DETAILS
- License Number: 15004105A
- Category: Preceptor Eligible
- Status: Expired
- Date Granted: 02/04/2005 (about 20 years ago)
- Expiry Date: 02/04/2010 (about 15 years ago)
LOCATIONS
A Address
Zionsville IN 46077