The holder whose full name is Dattilo, Gregory Wayne,come from Hanover IN,hold the Health Facility Administrator license(NO.14004805A) which status is Expired.
| Name | Dattilo, Gregory Wayne |
|---|---|
| License Number | 14004805A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | Hanover |
| State | IN |