The holder whose full name is ETHERTON, ELIZABETH ANN,come from La Fontaine IN,hold the Health Facility Administrator license(NO.14002154A) which status is Expired.
| Name | ETHERTON, ELIZABETH ANN |
|---|---|
| License Number | 14002154A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | La Fontaine |
| State | IN |