The holder whose full name is Holt, Douglas Emerson,come from Merrillville IN,hold the Health Facility Administrator license(NO.14004405A) which status is Expired.
| Name | Holt, Douglas Emerson |
|---|---|
| License Number | 14004405A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Merrillville |
| State | IN |