The holder whose full name is MOORE, DONALD W,come from MUNSTER IN,hold the Health Facility Administrator license(NO.14000700A) which status is Expired.
| Name | MOORE, DONALD W |
|---|---|
| License Number | 14000700A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | MUNSTER |
| State | IN |