The holder whose full name is FLACK, DIANE KAY,come from INDIANAPOLIS IN,hold the Health Facility Administrator license(NO.14002885A) which status is Expired.
| Name | FLACK, DIANE KAY |
|---|---|
| License Number | 14002885A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | INDIANAPOLIS |
| State | IN |