The holder whose full name is MARLATT, DANIEL LEE,come from LAWRENCEBURG IN,hold the Health Facility Administrator license(NO.14003262A) which status is Expired.
Name | MARLATT, DANIEL LEE |
---|---|
License Number | 14003262A |
License Type | Health Facility Administrator |
License Status | Expired |
City | LAWRENCEBURG |
State | IN |