The holder whose full name is ETTER, HERBERT E,come from WOODBURN IN,hold the Health Facility Administrator license(NO.14000639A) which status is Expired.
| Name | ETTER, HERBERT E |
|---|---|
| License Number | 14000639A |
| License Type | Health Facility Administrator |
| License Status | Expired |
| City | WOODBURN |
| State | IN |