The holder whose full name is AMICK, VIRGINIA L,come from LEBANON IN,hold the Health Facility Administrator license(NO.14003409A) which status is Expired.
| Name | AMICK, VIRGINIA L |
|---|---|
| License Number | 14003409A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | LEBANON |
| State | IN |