The holder whose full name is MORUS, DONNA JEAN,come from SOUTH BEND IN,hold the Health Facility Administrator license(NO.14000165A) which status is Expired.
| Name | MORUS, DONNA JEAN |
|---|---|
| License Number | 14000165A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | SOUTH BEND |
| State | IN |