The holder whose full name is Bridgewater, Dora R.,come from SCOTTSBURG IN,hold the Health Facility Administrator license(NO.14003556A) which status is Expired.
| Name | Bridgewater, Dora R. |
|---|---|
| License Number | 14003556A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | SCOTTSBURG |
| State | IN |