The holder whose full name is RUNNEBOHM, TERRI KAY,come from SHELBYVILLE IN,hold the Health Facility Administrator license(NO.14002751A) which status is Expired.
| Name | RUNNEBOHM, TERRI KAY |
|---|---|
| License Number | 14002751A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | SHELBYVILLE |
| State | IN |