The holder whose full name is JOHNSON, CLEMENTINE,come from MUNCIE IN,hold the Health Facility Administrator license(NO.14001188A) which status is Expired.
| Name | JOHNSON, CLEMENTINE |
|---|---|
| License Number | 14001188A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | MUNCIE |
| State | IN |