The holder whose full name is Goodman, Allen Wayne,come from Lawrenceburg IN,hold the Health Facility Administrator license(NO.14002731A) which status is Active.
| Name | Goodman, Allen Wayne |
|---|---|
| License Number | 14002731A |
| License Type | Health Facility Administrator |
| License Status | Active |
| City | Lawrenceburg |
| State | IN |