The holder whose full name is Ikeda, Dorothy Mae,come from NOBLESVILLE IN,hold the Health Facility Administrator license(NO.14001765A) which status is Expired.
| Name | Ikeda, Dorothy Mae |
|---|---|
| License Number | 14001765A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | NOBLESVILLE |
| State | IN |