The holder whose full name is MALOTT, CHANDA RENE,come from WALTON IN,hold the Health Facility Administrator license(NO.14003656A) which status is Active.
| Name | MALOTT, CHANDA RENE |
|---|---|
| License Number | 14003656A |
| License Type | Health Facility Administrator |
| License Status | Active |
| City | WALTON |
| State | IN |