The holder whose full name is Johnson, Constance Adele,come from Louisville KY,hold the Health Facility Administrator license(NO.14003834A) which status is Expired.
| Name | Johnson, Constance Adele |
|---|---|
| License Number | 14003834A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Louisville |
| State | KY |