The holder whose full name is TRUEMPER, CONSTANCE D,come from FORT WAYNE IN,hold the Health Facility Administrator license(NO.14002078A) which status is Expired.
Name | TRUEMPER, CONSTANCE D |
---|---|
License Number | 14002078A |
License Type | Health Facility Administrator |
License Status | Expired |
City | FORT WAYNE |
State | IN |