The holder whose full name is BERCOVITZ, DIANE,come from INDIANAPOLIS IN,hold the Health Facility Administrator license(NO.14001891A) which status is Expired.
| Name | BERCOVITZ, DIANE |
|---|---|
| License Number | 14001891A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |