The holder whose full name is LABAW, DOLORES J,come from LAFAYETTE IN,hold the Health Facility Administrator license(NO.14000410A) which status is Expired.
| Name | LABAW, DOLORES J |
|---|---|
| License Number | 14000410A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | LAFAYETTE |
| State | IN |