The holder whose full name is HEIN, DOUGLAS A,come from ROCKVILLE IN,hold the Health Facility Administrator license(NO.14001820A) which status is Expired.
| Name | HEIN, DOUGLAS A |
|---|---|
| License Number | 14001820A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | ROCKVILLE |
| State | IN |