The holder whose full name is MILLER, CHARLOTTE ANN,come from PLEASANT LAKE IN,hold the Health Facility Administrator license(NO.14000790A) which status is Expired.
| Name | MILLER, CHARLOTTE ANN |
|---|---|
| License Number | 14000790A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | PLEASANT LAKE |
| State | IN |