The holder whose full name is Jent, Terrence Lamar,come from Warren IN,hold the Health Facility Administrator license(NO.14004968A) which status is Active.
| Name | Jent, Terrence Lamar |
|---|---|
| License Number | 14004968A |
| License Type | Health Facility Administrator |
| License Status | Active |
| City | Warren |
| State | IN |