The holder whose full name is DE WOLFE, DIRK EDWARD,come from SANTA ANA CA,hold the Health Facility Administrator license(NO.14001900A) which status is Expired.
Name | DE WOLFE, DIRK EDWARD |
---|---|
License Number | 14001900A |
License Type | Health Facility Administrator |
License Status | Expired |
City | SANTA ANA |
State | CA |