The holder whose full name is COZORT, DON LACY,come from INDIANAPOLIS IN,hold the Health Facility Administrator license(NO.14002935A) which status is Expired.
| Name | COZORT, DON LACY |
|---|---|
| License Number | 14002935A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |