The holder whose full name is CARLSON, DOUGLAS DEAN,come from EVANSVILLE IN,hold the Health Facility Administrator license(NO.14003632A) which status is Expired.
| Name | CARLSON, DOUGLAS DEAN |
|---|---|
| License Number | 14003632A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | EVANSVILLE |
| State | IN |