The holder whose full name is NEVIN, CAROLYN SUE,come from MARTINSVILLE IN,hold the Health Facility Administrator license(NO.14002958A) which status is Expired.
| Name | NEVIN, CAROLYN SUE |
|---|---|
| License Number | 14002958A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | MARTINSVILLE |
| State | IN |