Robert D Wallace
Health Facility Administrator Preceptor
Indiana 15001477B Expired
This Indiana license was held by Robert D Wallace. The license is no longer active. It was granted on 05/20/2004 and expired on 10/01/2004
LICENSE DETAILS
- License Number: 15001477B
- Category: HFA Preceptor
- Status: Expired
- Date Granted: 05/20/2004 (about 20 years ago)
- Expiry Date: 10/01/2004 (over 19 years ago)
LOCATIONS
A Address
Noblesville IN 46062