The holder whose full name is DE ROME, WILLIAM L,come from PORTLAND IN,hold the Health Facility Administrator license(NO.14002858A) which status is Expired.
| Name | DE ROME, WILLIAM L |
|---|---|
| License Number | 14002858A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | PORTLAND |
| State | IN |