The holder whose full name is RUSSELL, CYNTHIA A,come from COLUMBIA CITY IN,hold the Health Facility Administrator license(NO.14000028A) which status is Expired.
| Name | RUSSELL, CYNTHIA A |
|---|---|
| License Number | 14000028A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | COLUMBIA CITY |
| State | IN |