The holder whose full name is ELWELL, DOUGLAS LEE,come from MISHAWAKA IN,hold the Health Facility Administrator license(NO.14003711A) which status is Expired.
| Name | ELWELL, DOUGLAS LEE |
|---|---|
| License Number | 14003711A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | MISHAWAKA |
| State | IN |