The holder whose full name is JOHNSON, DORIS JEAN,come from OTISCO IN,hold the Health Facility Administrator license(NO.14002522A) which status is Expired.
| Name | JOHNSON, DORIS JEAN |
|---|---|
| License Number | 14002522A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | OTISCO |
| State | IN |