The holder whose full name is ROSS, DOROTHEA M,come from DILLSBORO IN,hold the Health Facility Administrator license(NO.14000574A) which status is Expired.
| Name | ROSS, DOROTHEA M |
|---|---|
| License Number | 14000574A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | DILLSBORO |
| State | IN |