The holder whose full name is SMITH, WAYNE C,come from BERNE IN,hold the Health Facility Administrator license(NO.14001368A) which status is Expired.
| Name | SMITH, WAYNE C |
|---|---|
| License Number | 14001368A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | BERNE |
| State | IN |