The holder whose full name is LIZAMA, DORIS E,come from IANAPOLIS IN,hold the Health Facility Administrator license(NO.14000512A) which status is Expired.
| Name | LIZAMA, DORIS E |
|---|---|
| License Number | 14000512A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | IANAPOLIS |
| State | IN |