The holder whose full name is Hollerman, William Albert,come from Rensselaer IN,hold the Health Facility Administrator license(NO.14003369A) which status is Inactive.
| Name | Hollerman, William Albert |
|---|---|
| License Number | 14003369A |
| License Type | Health Facility Administrator |
| License Status | Inactive |
| City | Rensselaer |
| State | IN |