The holder whose full name is Nichols, George N,come from FRANKLIN IN,hold the Health Facility Administrator license(NO.14000702A) which status is Revoked.
| Name | Nichols, George N |
|---|---|
| License Number | 14000702A |
| License Type | Health Facility Administrator |
| License Status | Revoked |
| City | FRANKLIN |
| State | IN |