The holder whose full name is GACKENHEIMER, DAVID E.,come from WABASH IN,hold the Health Facility Administrator license(NO.14001755A) which status is Expired.
| Name | GACKENHEIMER, DAVID E. |
|---|---|
| License Number | 14001755A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | WABASH |
| State | IN |