The holder whose full name is Song, Cheng Jyi,come from Carmel IN,hold the Health Facility Administrator license(NO.14002019A) which status is Expired.
| Name | Song, Cheng Jyi |
|---|---|
| License Number | 14002019A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Carmel |
| State | IN |