The holder whose full name is DERR, WAYNE E,come from CARMEL IN,hold the Health Facility Administrator license(NO.14003274A) which status is Expired.
| Name | DERR, WAYNE E |
|---|---|
| License Number | 14003274A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | CARMEL |
| State | IN |