The holder whose full name is MC CAMMON, CARLA JEAN,come from SULLIVAN IN,hold the Health Facility Administrator license(NO.14000905A) which status is Expired.
| Name | MC CAMMON, CARLA JEAN |
|---|---|
| License Number | 14000905A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | SULLIVAN |
| State | IN |