The holder whose full name is Domingo, Edna Lee,come from Noblesville IN,hold the Health Facility Administrator license(NO.14004747A) which status is Active.
| Name | Domingo, Edna Lee |
|---|---|
| License Number | 14004747A |
| License Type | Health Facility Administrator |
| License Status | Active |
| City | Noblesville |
| State | IN |