The holder whose full name is MOORE, DONNA L,come from BLOOMINGTON IN,hold the Health Facility Administrator license(NO.14001132A) which status is Expired.
| Name | MOORE, DONNA L |
|---|---|
| License Number | 14001132A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | BLOOMINGTON |
| State | IN |