The holder whose full name is OTT, DWIGHT A,come from Marion IN,hold the Health Facility Administrator license(NO.14003331A) which status is Expired.
| Name | OTT, DWIGHT A |
|---|---|
| License Number | 14003331A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Marion |
| State | IN |