The holder whose full name is Simmons, Carol Vivian,come from Goshen IN,hold the Health Facility Administrator license(NO.14001795A) which status is Expired.
| Name | Simmons, Carol Vivian |
|---|---|
| License Number | 14001795A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Goshen |
| State | IN |