The holder whose full name is ELLISON, WILMA I,come from BRAZIL IN,hold the Health Facility Administrator license(NO.14000865A) which status is Expired.
| Name | ELLISON, WILMA I |
|---|---|
| License Number | 14000865A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | BRAZIL |
| State | IN |