The holder whose full name is BRAZZELL, DORIS JEAN,come from WEST LEBANON IN,hold the Health Facility Administrator license(NO.14001502A) which status is Expired.
| Name | BRAZZELL, DORIS JEAN |
|---|---|
| License Number | 14001502A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | WEST LEBANON |
| State | IN |