The holder whose full name is ERVIN, BERNICE,come from INDIANAPOLIS IN,hold the Health Facility Administrator license(NO.14001959A) which status is Expired.
| Name | ERVIN, BERNICE |
|---|---|
| License Number | 14001959A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |