The holder whose full name is HENSON, CARLOTTA,come from TERRE HAUTE IN,hold the Health Facility Administrator license(NO.14000883A) which status is Expired.
| Name | HENSON, CARLOTTA |
|---|---|
| License Number | 14000883A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | TERRE HAUTE |
| State | IN |