The holder whose full name is HERZOG, WANDA R,come from OAKLANDON IN,hold the Health Facility Administrator license(NO.14000373A) which status is Expired.
| Name | HERZOG, WANDA R |
|---|---|
| License Number | 14000373A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | OAKLANDON |
| State | IN |