The holder whose full name is FICKES, CAROLYN R,come from SOUTH BEND IN,hold the Health Facility Administrator license(NO.14002311A) which status is Expired.
| Name | FICKES, CAROLYN R |
|---|---|
| License Number | 14002311A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |