Keith Mostrog
Health Facility Admin Board - Preceptor Eligible
Indiana 15004407A Expired
This Indiana license was held by Keith Mostrog. The license is no longer active. It was granted on 10/17/2003 and expired on 07/23/2013
LICENSE DETAILS
- License Number: 15004407A
- Category: Preceptor Eligible
- Status: Expired
- Date Granted: 10/17/2003 (over 21 years ago)
- Expiry Date: 07/23/2013 (almost 12 years ago)
LOCATIONS
A Address
Zionsville IN 46077