The holder whose full name is AMBROSE, HOLLIE STEVENS,come from HAUBSTADT IN,hold the Health Facility Administrator license(NO.14004057A) which status is Expired.
| Name | AMBROSE, HOLLIE STEVENS |
|---|---|
| License Number | 14004057A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | HAUBSTADT |
| State | IN |