The holder whose full name is DAVIS, DIANA L,come from NEWBURGH IN,hold the Health Facility Administrator license(NO.14001556A) which status is Expired.
| Name | DAVIS, DIANA L |
|---|---|
| License Number | 14001556A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | NEWBURGH |
| State | IN |