The holder whose full name is NUGENT, DAVID WAYNE,come from GARRETT IN,hold the Health Facility Administrator license(NO.14003179A) which status is Expired.
| Name | NUGENT, DAVID WAYNE |
|---|---|
| License Number | 14003179A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | GARRETT |
| State | IN |