The holder whose full name is FASSETT, GREGORY LYNN,come from LOGANSPORT IN,hold the Health Facility Administrator license(NO.14002042A) which status is Active.
| Name | FASSETT, GREGORY LYNN |
|---|---|
| License Number | 14002042A |
| License Type | Health Facility Administrator |
| License Status | Active |
| City | LOGANSPORT |
| State | IN |