The holder whose full name is DODGE, DIANE LOUISE,come from NEWBURGH IN,hold the Health Facility Administrator license(NO.14002435A) which status is Expired.
| Name | DODGE, DIANE LOUISE |
|---|---|
| License Number | 14002435A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | NEWBURGH |
| State | IN |